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 $23.44 Median $26.92 Typical High $30.90 | Facility | None | $23.44 | $26.92 | $30.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $13.18 Median $13.80 Typical High $16.22 | Facility | 52 · Reduced service | $13.18 | $13.80 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | None | $21.88 | $26.92 | $33.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $13.80 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $13.80 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $34.67 | Professional | None | $27.54 | $32.36 | $34.67 |
AvMed Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $34.67 | Professional | None | $26.92 | $32.36 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $50.12 | Professional | None | $21.38 | $22.39 | $50.12 |
Florida Blue Setting Professional Modifier None Typical Low $14.79 Median $30.20 Typical High $37.15 | Professional | None | $14.79 | $30.20 | $37.15 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $39.81 Typical High $42.66 | Professional | None | $33.11 | $39.81 | $42.66 |
United Setting Professional Modifier None Typical Low $23.44 Median $30.90 Typical High $52.48 | Professional | None | $23.44 | $30.90 | $52.48 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | None | $26.30 | $32.36 | $32.36 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $27.54 Median $28.84 Typical High $29.51 | Facility | AF · Specialist physician | $27.54 | $28.84 | $29.51 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $20.42 Median $21.88 Typical High $22.39 | Facility | HO · Master's level | $20.42 | $21.88 | $22.39 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $23.44 Median $24.55 Typical High $25.12 | Facility | TD · Registered nurse | $23.44 | $24.55 | $25.12 |
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $27.54 Median $38.02 Typical High $56.23 | Professional | 25 · Same-day visit | $27.54 | $38.02 | $56.23 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | SA · Nurse practitioner | $32.36 | $32.36 | $32.36 |
Where Florida sits
The same service costs 2.5 times more in Alaska than in New York. 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· 43rd of 51
$27.54
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.