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 $1.86 Median $1.95 Typical High $2.29 | Facility | None | $1.86 | $1.95 | $2.29 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $0.85 Median $0.93 Typical High $1.17 | Facility | 52 · Reduced service | $0.85 | $0.93 | $1.17 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.34 Median $0.38 Typical High $0.47 | Facility | 53 · Discontinued | $0.34 | $0.38 | $0.47 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.95 Typical High $2.51 | Professional | None | $1.70 | $1.95 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.85 Median $0.93 Typical High $1.12 | Professional | 52 · Reduced service | $0.85 | $0.93 | $1.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.38 Typical High $0.45 | Professional | 53 · Discontinued | $0.34 | $0.38 | $0.45 |
AvMed Setting Facility Modifier None Typical Low $2.09 Median $2.63 Typical High $2.95 | Facility | None | $2.09 | $2.63 | $2.95 |
AvMed Setting Professional Modifier None Typical Low $1.95 Median $2.40 Typical High $2.95 | Professional | None | $1.95 | $2.40 | $2.95 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $144.54 | Facility | None | $3.63 | $3.63 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $1.91 Median $5.01 Typical High $5.01 | Professional | None | $1.91 | $5.01 | $5.01 |
Florida Blue Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.19 | Professional | None | $1.70 | $1.70 | $2.19 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $4.47 | Professional | None | $2.82 | $3.80 | $4.47 |
United Setting Facility Modifier None Typical Low $33.88 Median $36.31 Typical High $36.31 | Facility | None | $33.88 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.34 Typical High $2.82 | Professional | None | $1.91 | $2.34 | $2.82 |
Wellpoint Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Professional | None | $2.34 | $2.34 | $2.34 |
6 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 $2.29 Median $2.34 Typical High $2.51 | Facility | AF · Specialist physician | $2.29 | $2.34 | $2.51 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $1.70 Median $1.91 Typical High $1.95 | Facility | HO · Master's level | $1.70 | $1.91 | $1.95 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $1.95 Median $2.14 Typical High $19.50 | Facility | TD · Registered nurse | $1.95 | $2.14 | $19.50 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $2.29 Median $2.34 Typical High $2.51 | Professional | AF · Specialist physician | $2.29 | $2.34 | $2.51 |
Aetna Setting Professional Modifier HO · Master's level Typical Low $1.70 Median $1.91 Typical High $1.95 | Professional | HO · Master's level | $1.70 | $1.91 | $1.95 |
Aetna Setting Professional Modifier TD · Registered nurse Typical Low $1.95 Median $2.14 Typical High $19.50 | Professional | TD · Registered nurse | $1.95 | $2.14 | $19.50 |
Where Florida sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 33rd of 51
$2.14
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.