How much rates vary
Facilitymedian $112 · 10th to 90th $102 to $10,715Professionalmedian $110 · 10th to 90th $89 to $148
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 $102.33 Median $109.65 Typical High $134.90 | Facility | None | $102.33 | $109.65 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $63.10 | Facility | 52 · Reduced service | $51.29 | $53.70 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $25.12 | Facility | 53 · Discontinued | $20.42 | $21.88 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $147.91 | Professional | None | $102.33 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $21.88 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $87.10 Typical High $117.49 | Professional | None | $41.69 | $87.10 | $117.49 |
AvMed Setting Facility Modifier None Typical Low $109.65 Median $114.82 Typical High $134.90 | Facility | None | $109.65 | $114.82 | $134.90 |
AvMed Setting Professional Modifier None Typical Low $104.71 Median $125.89 Typical High $141.25 | Professional | None | $104.71 | $125.89 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $112.20 Typical High $229.09 | Professional | None | $89.13 | $112.20 | $229.09 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $794.33 Typical High $17,378.01 | Facility | None | $70.79 | $794.33 | $17,378.01 |
Florida Blue Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $141.25 Typical High $186.21 | Professional | None | $58.88 | $141.25 | $186.21 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $177.83 | Professional | None | $100.00 | $100.00 | $177.83 |
Wellpoint Setting Professional Modifier None Typical Low $36.31 Median $83.18 Typical High $83.18 | Professional | None | $36.31 | $83.18 | $83.18 |
7 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $141.25 Median $147.91 Typical High $147.91 | Facility | AF · Specialist physician | $141.25 | $147.91 | $147.91 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $107.15 Median $109.65 Typical High $120.23 | Facility | HO · Master's level | $107.15 | $109.65 | $120.23 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $120.23 Median $123.03 Typical High $125.89 | Facility | TD · Registered nurse | $120.23 | $123.03 | $125.89 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $141.25 Median $147.91 Typical High $151.36 | Professional | AF · Specialist physician | $141.25 | $147.91 | $151.36 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $107.15 Median $109.65 Typical High $120.23 | Professional | HO · Master's level | $107.15 | $109.65 | $120.23 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $120.23 Median $123.03 Typical High $128.82 | Professional | TD · Registered nurse | $120.23 | $123.03 | $128.82 |
Ambetter Setting Professional Modifier GO · Occupational therapy plan Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | GO · Occupational therapy plan | $117.49 | $117.49 | $117.49 |
Where Florida sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 46th of 51
$110
AK $245OH $102
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.