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 $12.02 Median $13.18 Typical High $15.49 | Facility | None | $12.02 | $13.18 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $17.38 | Professional | None | $12.02 | $14.79 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | None | $24.55 | $24.55 | $25.70 |
AvMed Setting Facility Modifier None Typical Low $18.62 Median $21.88 Typical High $27.54 | Facility | None | $18.62 | $21.88 | $27.54 |
AvMed Setting Professional Modifier None Typical Low $19.05 Median $22.91 Typical High $28.18 | Professional | None | $19.05 | $22.91 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $39.81 | Professional | None | $25.12 | $31.62 | $39.81 |
Florida Blue Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $25.70 | Professional | None | $18.62 | $25.70 | $25.70 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $21.88 | Professional | None | $16.60 | $20.42 | $21.88 |
United Setting Facility Modifier None Typical Low $25.12 Median $26.92 Typical High $26.92 | Facility | None | $25.12 | $26.92 | $26.92 |
United Setting Professional Modifier None Typical Low $17.38 Median $25.12 Typical High $60.26 | Professional | None | $17.38 | $25.12 | $60.26 |
Wellpoint Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $20.89 | Professional | None | $15.14 | $20.89 | $20.89 |
1 more rate 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 AT · Acute treatment Typical Low $24.55 Median $25.12 Typical High $26.30 | Professional | AT · Acute treatment | $24.55 | $25.12 | $26.30 |
Where Florida sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 15th of 51
$30.90
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.