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 $123.03 Median $138.04 Typical High $1,479.11 | Facility | None | $123.03 | $138.04 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $158.49 | Professional | None | $123.03 | $131.83 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $102.33 Median $120.23 Typical High $125.89 | Professional | None | $102.33 | $120.23 | $125.89 |
AvMed Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $1,202.26 | Facility | None | $114.82 | $138.04 | $1,202.26 |
AvMed Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $154.88 | Professional | None | $102.33 | $128.82 | $154.88 |
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 $87.10 Median $91.20 Typical High $199.53 | Professional | None | $87.10 | $91.20 | $199.53 |
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 $70.79 Median $144.54 Typical High $186.21 | Professional | None | $70.79 | $144.54 | $186.21 |
Molina Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $288.40 | Professional | None | $102.33 | $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 $128.82 Typical High $213.80 | Professional | None | $95.50 | $128.82 | $213.80 |
Wellpoint Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
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 $120.23 Median $120.23 Typical High $125.89 | Professional | 59 · Distinct service | $120.23 | $120.23 | $125.89 |
Ambetter Setting Professional Modifier Q1 · Research study, routine Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | Q1 · Research study, routine | $120.23 | $120.23 | $128.82 |
Where Florida sits
The same service costs 2.8 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
$123
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.