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 $19.05 Median $162.18 Typical High $338.84 | Facility | None | $19.05 | $162.18 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $27.54 | Professional | None | $19.05 | $25.70 | $27.54 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | HO · Master's level | $30.20 | $30.20 | $30.20 |
AvMed Setting Professional Modifier None Typical Low $42.66 Median $46.77 Typical High $54.95 | Professional | None | $42.66 | $46.77 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $28.18 | Professional | None | $20.89 | $20.89 | $28.18 |
Florida Blue Setting Facility Modifier None Typical Low $794.33 Median $9,772.37 Typical High $18,197.01 | Facility | None | $794.33 | $9,772.37 | $18,197.01 |
Florida Blue Setting Professional Modifier None Typical Low $18.62 Median $53.70 Typical High $53.70 | Professional | None | $18.62 | $53.70 | $53.70 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $50.12 | Professional | None | $19.05 | $19.05 | $50.12 |
United Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Facility | None | $117.49 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $93.33 | Professional | None | $34.67 | $48.98 | $93.33 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $28.18 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HO · Master's level | $30.20 | $30.20 | $33.11 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | HP · Doctoral level | $30.20 | $30.20 | $33.11 |
Wellpoint Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
3 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 TS · Follow-up service Typical Low $19.05 Median $19.05 Typical High $30.20 | Professional | TS · Follow-up service | $19.05 | $19.05 | $30.20 |
Ambetter Setting Professional Modifier U3 · State-defined Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | U3 · State-defined | $26.92 | $26.92 | $33.88 |
Wellpoint Setting Professional Modifier TS · Follow-up service Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | TS · Follow-up service | $19.05 | $19.05 | $19.05 |
Where Florida sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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· 40th of 51
$19.50
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.