How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $57.54 Median $72.44 Typical High $1,023.29 | Facility | None | $57.54 | $72.44 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $66.07 Typical High $87.10 | Professional | None | $57.54 | $66.07 | $87.10 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $64.57 Typical High $77.62 | Professional | None | $57.54 | $64.57 | $77.62 |
AvMed Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $1,202.26 | Facility | None | $61.66 | $74.13 | $1,202.26 |
AvMed Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $77.62 | Professional | None | $56.23 | $69.18 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $181.97 | Facility | None | $112.20 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $100.00 | Professional | None | $48.98 | $52.48 | $100.00 |
Florida Blue Setting Professional Modifier None Typical Low $31.62 Median $64.57 Typical High $81.28 | Professional | None | $31.62 | $64.57 | $81.28 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $144.54 | Professional | None | $51.29 | $67.61 | $144.54 |
United Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $89.13 | Facility | None | $83.18 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $100.00 | Professional | None | $51.29 | $66.07 | $100.00 |
Wellpoint Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None | $56.23 | $56.23 | $56.23 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $58.88 Median $64.57 Typical High $69.18 | Professional | 59 · Distinct service | $58.88 | $64.57 | $69.18 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $64.57 Median $64.57 Typical High $77.62 | Professional | 76 · Repeat, same provider | $64.57 | $64.57 | $77.62 |
Where Florida sits
The same service costs 3.0 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
$64.57
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.