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 $3.39 Median $3.80 Typical High $5.25 | Facility | None | $3.39 | $3.80 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.80 Typical High $5.01 | Professional | None | $3.39 | $3.80 | $5.01 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.91 Typical High $2.24 | Professional | 52 · Reduced service | $1.70 | $1.91 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.76 Typical High $0.89 | Professional | 53 · Discontinued | $0.68 | $0.76 | $0.89 |
AvMed Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $11.22 | Facility | None | $4.37 | $5.75 | $11.22 |
AvMed Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $5.37 | Professional | None | $3.47 | $4.07 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $162.18 Typical High $162.18 | Professional | None | $6.17 | $162.18 | $162.18 |
Florida Blue Setting Facility Modifier None Typical Low $144.54 Median $245.47 Typical High $371.54 | Facility | None | $144.54 | $245.47 | $371.54 |
Florida Blue Setting Professional Modifier None Typical Low $2.04 Median $4.47 Typical High $14.13 | Professional | None | $2.04 | $4.47 | $14.13 |
Molina Setting Professional Modifier None Typical Low $4.37 Median $6.46 Typical High $10.00 | Professional | None | $4.37 | $6.46 | $10.00 |
United Setting Professional Modifier None Typical Low $2.95 Median $5.25 Typical High $54.95 | Professional | None | $2.95 | $5.25 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $4.37 | Professional | None | $4.37 | $4.37 | $4.37 |
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 $4.27 Median $4.27 Typical High $4.27 | Professional | 59 · Distinct service | $4.27 | $4.27 | $4.27 |
Where Florida sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 48th of 51
$4.07
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.