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 $9.77 Median $11.22 Typical High $14.45 | Facility | None | $9.77 | $11.22 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $16.60 | Professional | None | $9.77 | $11.48 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $16.60 | Professional | None | $10.96 | $14.45 | $16.60 |
AvMed Setting Facility Modifier None Typical Low $10.96 Median $12.88 Typical High $16.60 | Facility | None | $10.96 | $12.88 | $16.60 |
AvMed Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $16.22 | Professional | None | $10.96 | $12.88 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $16.98 | Professional | None | $8.32 | $10.72 | $16.98 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $6,025.60 | Facility | None | $70.79 | $72.44 | $6,025.60 |
Florida Blue Setting Professional Modifier None Typical Low $6.31 Median $12.88 Typical High $16.60 | Professional | None | $6.31 | $12.88 | $16.60 |
Molina Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $15.85 | Professional | None | $9.12 | $10.96 | $15.85 |
United Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Facility | None | $43.65 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $8.91 Median $11.75 Typical High $34.67 | Professional | None | $8.91 | $11.75 | $34.67 |
Wellpoint Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $12.02 | Professional | None | $8.32 | $12.02 | $12.02 |
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 25 · Same-day visit Typical Low $11.48 Median $15.49 Typical High $16.60 | Professional | 25 · Same-day visit | $11.48 | $15.49 | $16.60 |
Ambetter Setting Professional Modifier 33 · Preventive service Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 33 · Preventive service | $15.49 | $15.49 | $15.49 |
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· 49th of 51
$11.48
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.