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 $144.54 Median $151.36 Typical High $199.53 | Facility | None | $144.54 | $151.36 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $186.21 Typical High $239.88 | Professional | None | $144.54 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $93.33 | $102.33 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $288.40 Typical High $302.00 | Professional | None | $245.47 | $288.40 | $302.00 |
AvMed Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $316.23 | Facility | None | $173.78 | $239.88 | $316.23 |
AvMed Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $302.00 | Professional | None | $173.78 | $234.42 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $186.21 Typical High $281.84 | Professional | None | $134.90 | $186.21 | $281.84 |
Florida Blue Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $6,165.95 | Facility | None | $190.55 | $194.98 | $6,165.95 |
Florida Blue Setting Professional Modifier None Typical Low $109.65 Median $234.42 Typical High $316.23 | Professional | None | $109.65 | $234.42 | $316.23 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $660.69 | Professional | None | $229.09 | $269.15 | $660.69 |
United Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Facility | None | $117.49 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $295.12 | Professional | None | $131.83 | $190.55 | $295.12 |
Wellpoint Setting Professional Modifier None Typical Low $169.82 Median $288.40 Typical High $295.12 | Professional | None | $169.82 | $288.40 | $295.12 |
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 $288.40 Median $288.40 Typical High $288.40 | Professional | 25 · Same-day visit | $288.40 | $288.40 | $288.40 |
Where Florida sits
The same service costs 2.7 times more in Alaska than in Alabama. 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· 47th of 51
$200
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.