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 $3.55 Median $158.49 Typical High $338.84 | Facility | None | $3.55 | $158.49 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.55 Typical High $4.79 | Professional | None | $3.09 | $3.55 | $4.79 |
AvMed Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $10.96 | Professional | None | $7.08 | $10.00 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.50 | Professional | None | $4.47 | $4.47 | $5.50 |
Florida Blue Setting Facility Modifier None Typical Low $4.79 Median $12.30 Typical High $13.49 | Facility | None | $4.79 | $12.30 | $13.49 |
Florida Blue Setting Professional Modifier None Typical Low $3.24 Median $4.68 Typical High $4.68 | Professional | None | $3.24 | $4.68 | $4.68 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
United Setting Professional Modifier None Typical Low $4.47 Median $39.81 Typical High $60.26 | Professional | None | $4.47 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
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 $5.37 Median $5.37 Typical High $5.37 | Professional | 59 · Distinct service | $5.37 | $5.37 | $5.37 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | GP · Physical therapy plan | $5.37 | $5.37 | $5.62 |
Where Florida sits
The same service costs 3.6 times more in Alaska than in Missouri. 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· 43rd of 51
$4.79
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.