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 $15.14 Median $15.14 Typical High $15.85 | Facility | None | $15.14 | $15.14 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $15.85 Typical High $22.91 | Professional | None | $14.13 | $15.85 | $22.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.59 Typical High $9.77 | Professional | 52 · Reduced service | $7.08 | $7.59 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.89 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.89 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $20.89 | Professional | None | $15.85 | $17.78 | $20.89 |
AvMed Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $23.44 | Facility | None | $18.20 | $22.39 | $23.44 |
AvMed Setting Professional Modifier None Typical Low $16.60 Median $19.05 Typical High $23.44 | Professional | None | $16.60 | $19.05 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $251.19 Typical High $281.84 | Facility | None | $33.88 | $251.19 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $13.80 Typical High $25.70 | Professional | None | $12.88 | $13.80 | $25.70 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $17,782.79 | Facility | None | $251.19 | $257.04 | $17,782.79 |
Florida Blue Setting Professional Modifier None Typical Low $8.71 Median $18.62 Typical High $24.55 | Professional | None | $8.71 | $18.62 | $24.55 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $72.44 | Professional | None | $25.12 | $31.62 | $72.44 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $14.13 Median $19.05 Typical High $54.95 | Professional | None | $14.13 | $19.05 | $54.95 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | None | $20.89 | $21.88 | $21.88 |
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 GP · Physical therapy plan Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | GP · Physical therapy plan | $16.98 | $16.98 | $18.20 |
Where Florida sits
The same service costs 2.3 times more in Minnesota than in Kentucky. 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· 45th of 51
$18.62
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.