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 $19.50 Median $20.42 Typical High $22.39 | Facility | None | $19.50 | $20.42 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $21.88 Typical High $30.90 | Professional | None | $20.42 | $21.88 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $31.62 | Professional | None | $22.39 | $29.51 | $31.62 |
AvMed Setting Facility Modifier None Typical Low $22.39 Median $23.99 Typical High $31.62 | Facility | None | $22.39 | $23.99 | $31.62 |
AvMed Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $30.90 | Professional | None | $22.39 | $25.12 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $33.11 | Professional | None | $17.78 | $20.42 | $33.11 |
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 $12.02 Median $24.55 Typical High $31.62 | Professional | None | $12.02 | $24.55 | $31.62 |
Molina Setting Professional Modifier None Typical Low $19.05 Median $26.92 Typical High $67.61 | Professional | None | $19.05 | $26.92 | $67.61 |
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 $18.20 Median $23.44 Typical High $42.66 | Professional | None | $18.20 | $23.44 | $42.66 |
Wellpoint Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $22.39 | Professional | None | $16.98 | $22.39 | $22.39 |
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 $25.70 Median $29.51 Typical High $35.48 | Professional | 25 · Same-day visit | $25.70 | $29.51 | $35.48 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | GC · Resident with teaching physician | $29.51 | $29.51 | $33.88 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 50th of 51
$22.39
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.