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 $10.23 Median $19.95 Typical High $56.23 | Facility | None | $10.23 | $19.95 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $38.90 Typical High $58.88 | Professional | None | $10.23 | $38.90 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.89 Typical High $10.00 | Professional | 53 · Discontinued | $2.00 | $3.89 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $48.98 | Professional | None | $10.00 | $11.75 | $48.98 |
AvMed Setting Facility Modifier None Typical Low $11.48 Median $42.66 Typical High $54.95 | Facility | None | $11.48 | $42.66 | $54.95 |
AvMed Setting Professional Modifier None Typical Low $11.75 Median $42.66 Typical High $53.70 | Professional | None | $11.75 | $42.66 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $34.67 Typical High $72.44 | Professional | None | $9.55 | $34.67 | $72.44 |
Florida Blue Setting Professional Modifier None Typical Low $28.84 Median $52.48 Typical High $60.26 | Professional | None | $28.84 | $52.48 | $60.26 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $72.44 Typical High $89.13 | Professional | None | $33.88 | $72.44 | $89.13 |
United Setting Professional Modifier None Typical Low $10.47 Median $35.48 Typical High $74.13 | Professional | None | $10.47 | $35.48 | $74.13 |
Wellpoint Setting Professional Modifier None Typical Low $8.51 Median $39.81 Typical High $39.81 | Professional | None | $8.51 | $39.81 | $39.81 |
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 $10.72 Median $46.77 Typical High $46.77 | Professional | 59 · Distinct service | $10.72 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $10.72 Median $46.77 Typical High $47.86 | Professional | Q6 · Substitute physician, paid per time | $10.72 | $46.77 | $47.86 |
Where Florida sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 27th of 51
$42.66
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.