How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $72.44 Median $1,621.81 Typical High $2,511.89 | Facility | None | $72.44 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $75.86 Typical High $117.49 | Professional | None | $69.18 | $75.86 | $117.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $34.67 Median $36.31 Typical High $45.71 | Professional | 52 · Reduced service | $34.67 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $13.80 | $14.79 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $67.61 Typical High $83.18 | Professional | None | $63.10 | $67.61 | $83.18 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 52 · Reduced service | $15.85 | $15.85 | $15.85 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $165.96 | Facility | None | $69.18 | $91.20 | $165.96 |
AvMed Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $131.83 | Professional | None | $57.54 | $72.44 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $158.49 | Professional | None | $48.98 | $60.26 | $158.49 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $162.18 | Facility | None | $154.88 | $162.18 | $162.18 |
Florida Blue Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $181.97 | Professional | None | $47.86 | $64.57 | $181.97 |
Molina Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $151.36 | Professional | None | $56.23 | $72.44 | $151.36 |
United Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $138.04 | Professional | None | $34.67 | $60.26 | $138.04 |
Wellpoint Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None | $54.95 | $54.95 | $69.18 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $63.10 Typical High $69.18 | Professional | 59 · Distinct service | $63.10 | $63.10 | $69.18 |
Where Florida sits
The same service costs 2.8 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 49th of 51
$69.18
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.