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 $120.23 Median $134.90 Typical High $1,023.29 | Facility | None | $120.23 | $134.90 | $1,023.29 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $123.03 Typical High $165.96 | Professional | None | $120.23 | $123.03 | $165.96 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $131.83 | Professional | None | $102.33 | $120.23 | $131.83 |
AvMed Setting Facility Modifier None Typical Low $112.20 Median $138.04 Typical High $1,202.26 | Facility | None | $112.20 | $138.04 | $1,202.26 |
AvMed Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $151.36 | Professional | None | $102.33 | $128.82 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $602.56 Typical High $724.44 | Facility | None | $208.93 | $602.56 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $186.21 | Professional | None | $89.13 | $93.33 | $186.21 |
Florida Blue Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $7,585.78 | Facility | None | $630.96 | $630.96 | $7,585.78 |
Florida Blue Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $173.78 | Professional | None | $64.57 | $138.04 | $173.78 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $134.90 Typical High $288.40 | Professional | None | $104.71 | $134.90 | $288.40 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $416.87 | Facility | None | $380.19 | $416.87 | $416.87 |
United Setting Professional Modifier None Typical Low $95.50 Median $125.89 Typical High $199.53 | Professional | None | $95.50 | $125.89 | $199.53 |
Wellpoint Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
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 JZ · No drug discarded Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | JZ · No drug discarded | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier Q1 · Research study, routine Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | Q1 · Research study, routine | $120.23 | $120.23 | $123.03 |
Where Florida sits
The same service costs 2.9 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
$120
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.