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 $51.29 Median $56.23 Typical High $1,479.11 | Facility | None | $51.29 | $56.23 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $66.07 | Professional | None | $51.29 | $54.95 | $66.07 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $51.29 Typical High $53.70 | Professional | None | $43.65 | $51.29 | $53.70 |
AvMed Setting Facility Modifier None Typical Low $48.98 Median $58.88 Typical High $1,202.26 | Facility | None | $48.98 | $58.88 | $1,202.26 |
AvMed Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $66.07 | Professional | None | $44.67 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $151.36 | Facility | None | $91.20 | $125.89 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $79.43 | Professional | None | $37.15 | $39.81 | $79.43 |
Florida Blue Setting Facility Modifier None Typical Low $134.90 Median $138.04 Typical High $138.04 | Facility | None | $134.90 | $138.04 | $138.04 |
Florida Blue Setting Professional Modifier None Typical Low $28.18 Median $60.26 Typical High $72.44 | Professional | None | $28.18 | $60.26 | $72.44 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $38.02 Typical High $74.13 | Professional | None | $26.30 | $38.02 | $74.13 |
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 $39.81 Median $53.70 Typical High $85.11 | Professional | None | $39.81 | $53.70 | $85.11 |
Wellpoint Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | None | $43.65 | $43.65 | $43.65 |
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 $54.95 Median $54.95 Typical High $54.95 | Professional | 59 · Distinct service | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier Q1 · Research study, routine Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | Q1 · Research study, routine | $51.29 | $51.29 | $56.23 |
Where Florida sits
The same service costs 4.6 times more in Alaska than in Utah. 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· 49th of 51
$51.29
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.