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 $26.30 Median $27.54 Typical High $35.48 | Facility | None | $26.30 | $27.54 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $39.81 | Professional | None | $25.70 | $32.36 | $39.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $12.88 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.46 Typical High $7.08 | Professional | 53 · Discontinued | $5.13 | $6.46 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $45.71 | Professional | None | $34.67 | $41.69 | $45.71 |
AvMed Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $44.67 | Facility | None | $26.92 | $33.88 | $44.67 |
AvMed Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $44.67 | Professional | None | $26.92 | $33.88 | $44.67 |
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 $28.18 Typical High $47.86 | Professional | None | $21.38 | $28.18 | $47.86 |
Florida Blue Setting Professional Modifier None Typical Low $18.62 Median $38.90 Typical High $47.86 | Professional | None | $18.62 | $38.90 | $47.86 |
Molina Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $144.54 | Professional | None | $21.88 | $54.95 | $144.54 |
United Setting Professional Modifier None Typical Low $23.44 Median $32.36 Typical High $50.12 | Professional | None | $23.44 | $32.36 | $50.12 |
Wellpoint Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $30.20 | Professional | None | $22.91 | $30.20 | $30.20 |
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 |
|---|---|---|---|---|---|
Wellpoint Setting Professional Modifier CR · Disaster related Typical Low $19.95 Median $19.95 Typical High $26.30 | Professional | CR · Disaster related | $19.95 | $19.95 | $26.30 |
Where Florida sits
The same service costs 2.4 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· 49th of 51
$31.62
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.