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 $371.54 Median $371.54 Typical High $398.11 | Facility | None | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $398.11 Typical High $512.86 | Professional | None | $363.08 | $398.11 | $512.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $199.53 Typical High $245.47 | Professional | 52 · Reduced service | $177.83 | $199.53 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $100.00 | Professional | 53 · Discontinued | $72.44 | $79.43 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $707.95 | Professional | None | $478.63 | $478.63 | $707.95 |
AvMed Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $512.86 | Professional | None | $416.87 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $630.96 Typical High $831.76 | Facility | None | $562.34 | $630.96 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $758.58 | Professional | None | $316.23 | $338.84 | $758.58 |
Florida Blue Setting Facility Modifier None Typical Low $707.95 Median $724.44 Typical High $1,584.89 | Facility | None | $707.95 | $724.44 | $1,584.89 |
Florida Blue Setting Professional Modifier None Typical Low $281.84 Median $501.19 Typical High $524.81 | Professional | None | $281.84 | $501.19 | $524.81 |
Molina Setting Professional Modifier None Typical Low $354.81 Median $457.09 Typical High $588.84 | Professional | None | $354.81 | $457.09 | $588.84 |
United Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Facility | None | $436.52 | $467.74 | $467.74 |
United Setting Professional Modifier None Typical Low $338.84 Median $478.63 Typical High $891.25 | Professional | None | $338.84 | $478.63 | $891.25 |
Wellpoint Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | 59 · Distinct service | $478.63 | $478.63 | $478.63 |
Where Florida sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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
$398
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.