How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $14.13 Median $162.18 Typical High $338.84 | Facility | None | $14.13 | $162.18 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $15.14 | Professional | None | $14.45 | $14.45 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $24.55 | Professional | None | $12.30 | $12.30 | $24.55 |
AvMed Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $36.31 | Professional | None | $28.18 | $30.90 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.14 | Professional | None | $10.00 | $10.00 | $15.14 |
Florida Blue Setting Professional Modifier None Typical Low $10.00 Median $34.67 Typical High $34.67 | Professional | None | $10.00 | $34.67 | $34.67 |
Molina Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $50.12 | Professional | None | $12.30 | $12.30 | $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 $23.44 Median $33.11 Typical High $63.10 | Professional | None | $23.44 | $33.11 | $63.10 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $13.80 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $15.49 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $15.49 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HO · Master's level | $16.60 | $16.60 | $18.62 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $18.62 | Professional | HP · Doctoral level | $16.60 | $16.60 | $18.62 |
Wellpoint Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | None | $12.30 | $12.30 | $15.14 |
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 77 · Repeat, other provider Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 77 · Repeat, other provider | $25.12 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier XP · Separate practitioner Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | XP · Separate practitioner | $26.92 | $26.92 | $26.92 |
Florida Blue Setting Professional Modifier TG · Complex care level Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TG · Complex care level | $15.49 | $15.49 | $15.49 |
Where Florida sits
The same service costs 4.5 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· 38th of 51
$14.45
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.