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 $107.15 Median $109.65 Typical High $117.49 | Facility | None | $107.15 | $109.65 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $158.49 | Professional | None | $107.15 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $147.91 Typical High $223.87 | Professional | None | $128.82 | $147.91 | $223.87 |
AvMed Setting Facility Modifier None Typical Low $114.82 Median $123.03 Typical High $151.36 | Facility | None | $114.82 | $123.03 | $151.36 |
AvMed Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $151.36 | Professional | None | $114.82 | $138.04 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $245.47 | Professional | None | $93.33 | $120.23 | $245.47 |
Florida Blue Setting Facility Modifier None Typical Low $630.96 Median $1,071.52 Typical High $1,621.81 | Facility | None | $630.96 | $1,071.52 | $1,621.81 |
Florida Blue Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $177.83 | Professional | None | $81.28 | $120.23 | $177.83 |
Molina Setting Professional Modifier None Typical Low $91.20 Median $114.82 Typical High $199.53 | Professional | None | $91.20 | $114.82 | $199.53 |
United Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $263.03 | Professional | None | $100.00 | $138.04 | $263.03 |
Wellpoint Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $107.15 | Professional | None | $91.20 | $107.15 | $107.15 |
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 $128.82 Median $128.82 Typical High $141.25 | Professional | 59 · Distinct service | $128.82 | $128.82 | $141.25 |
Where Florida sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 51st of 51
$117
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.