How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $457.09 Median $457.09 Typical High $489.78 | Facility | None | $457.09 | $457.09 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | None | $446.68 | $489.78 | $549.54 |
Ambetter Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $741.31 | Professional | None | $489.78 | $489.78 | $741.31 |
AvMed Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $512.86 | Facility | None | $398.11 | $489.78 | $512.86 |
AvMed Setting Professional Modifier None Typical Low $389.05 Median $478.63 Typical High $602.56 | Professional | None | $389.05 | $478.63 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $10,000.00 | Facility | None | $398.11 | $398.11 | $10,000.00 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $776.25 | Professional | None | $398.11 | $407.38 | $776.25 |
Florida Blue Setting Professional Modifier None Typical Low $251.19 Median $537.03 Typical High $630.96 | Professional | None | $251.19 | $537.03 | $630.96 |
Molina Setting Professional Modifier None Typical Low $363.08 Median $426.58 Typical High $1,047.13 | Professional | None | $363.08 | $426.58 | $1,047.13 |
United Setting Professional Modifier None Typical Low $389.05 Median $501.19 Typical High $812.83 | Professional | None | $389.05 | $501.19 | $812.83 |
Wellpoint Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 25 · Same-day visit | $489.78 | $489.78 | $489.78 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 51st of 51
$457
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.