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 $26.30 Median $27.54 Typical High $36.31 | Facility | None | $26.30 | $27.54 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $34.67 | Professional | None | $25.70 | $27.54 | $34.67 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $12.88 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.50 Typical High $6.92 | Professional | 53 · Discontinued | $5.13 | $5.50 | $6.92 |
AvMed Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $64.57 | Facility | None | $26.92 | $35.48 | $64.57 |
AvMed Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $34.67 | Professional | None | $21.38 | $27.54 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $63.10 | Professional | None | $22.39 | $30.90 | $63.10 |
Florida Blue Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $263.03 | Facility | None | $102.33 | $173.78 | $263.03 |
Florida Blue Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $33.88 | Professional | None | $18.20 | $22.91 | $33.88 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $64.57 | Professional | None | $24.55 | $34.67 | $64.57 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $63.10 | Professional | None | $24.55 | $33.88 | $63.10 |
Wellpoint Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
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 GZ · Expected denial Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | GZ · Expected denial | $56.23 | $56.23 | $56.23 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in New York. 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· 50th of 51
$27.54
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.