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 $269.15 Median $281.84 Typical High $295.12 | Facility | None | $269.15 | $281.84 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $295.12 Typical High $346.74 | Professional | None | $269.15 | $295.12 | $346.74 |
Ambetter Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $478.63 | Professional | None | $389.05 | $389.05 | $478.63 |
AvMed Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $338.84 | Facility | None | $257.04 | $323.59 | $338.84 |
AvMed Setting Professional Modifier None Typical Low $251.19 Median $316.23 Typical High $363.08 | Professional | None | $251.19 | $316.23 | $363.08 |
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 $239.88 Median $245.47 Typical High $467.74 | Professional | None | $239.88 | $245.47 | $467.74 |
Florida Blue Setting Professional Modifier None Typical Low $151.36 Median $323.59 Typical High $371.54 | Professional | None | $151.36 | $323.59 | $371.54 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $758.58 | Professional | None | $257.04 | $309.03 | $758.58 |
United Setting Professional Modifier None Typical Low $239.88 Median $302.00 Typical High $489.78 | Professional | None | $239.88 | $302.00 | $489.78 |
Wellpoint Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
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 GC · Resident with teaching physician Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | GC · Resident with teaching physician | $323.59 | $323.59 | $323.59 |
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· 48th of 51
$288
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.