How much rates vary
Facilitymedian $37 · 10th to 90th $20 to $46Professionalmedian $40 · 10th to 90th $20 to $50
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 $19.95 Median $37.15 Typical High $45.71 | Facility | None | $19.95 | $37.15 | $45.71 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.00 Median $14.45 Typical High $19.95 | Facility | 52 · Reduced service | $10.00 | $14.45 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.98 Median $5.75 Typical High $7.94 | Facility | 53 · Discontinued | $3.98 | $5.75 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $38.02 Typical High $50.12 | Professional | None | $19.95 | $38.02 | $50.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $16.98 Typical High $19.95 | Professional | 52 · Reduced service | $10.00 | $16.98 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $6.76 Typical High $7.94 | Professional | 53 · Discontinued | $3.98 | $6.76 | $7.94 |
Ambetter Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $44.67 | Professional | None | $36.31 | $42.66 | $44.67 |
AvMed Setting Facility Modifier None Typical Low $21.38 Median $35.48 Typical High $45.71 | Facility | None | $21.38 | $35.48 | $45.71 |
AvMed Setting Professional Modifier None Typical Low $21.88 Median $35.48 Typical High $45.71 | Professional | None | $21.88 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $144.54 | Facility | None | $37.15 | $37.15 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $48.98 | Professional | None | $28.84 | $47.86 | $48.98 |
Florida Blue Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.90 | Professional | None | $30.20 | $30.20 | $38.90 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $69.18 Typical High $93.33 | Professional | None | $22.39 | $69.18 | $93.33 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $23.99 Median $42.66 Typical High $56.23 | Professional | None | $23.99 | $42.66 | $56.23 |
Wellpoint Setting Professional Modifier None Typical Low $16.60 Median $33.88 Typical High $33.88 | Professional | None | $16.60 | $33.88 | $33.88 |
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 $48.98 Median $50.12 Typical High $50.12 | Facility | AF · Specialist physician | $48.98 | $50.12 | $50.12 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $36.31 Median $38.02 Typical High $40.74 | Facility | HO · Master's level | $36.31 | $38.02 | $40.74 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $40.74 Median $42.66 Typical High $42.66 | Facility | TD · Registered nurse | $40.74 | $42.66 | $42.66 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $48.98 Median $50.12 Typical High $52.48 | Professional | AF · Specialist physician | $48.98 | $50.12 | $52.48 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $36.31 Median $38.02 Typical High $40.74 | Professional | HO · Master's level | $36.31 | $38.02 | $40.74 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $40.74 Median $42.66 Typical High $44.67 | Professional | TD · Registered nurse | $40.74 | $42.66 | $44.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | 59 · Distinct service | $32.36 | $32.36 | $42.66 |
Where Florida sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 29th of 51
$39.81
HI $63.10DC $26.92
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.