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 $26.92 Median $33.88 Typical High $41.69 | Facility | None | $26.92 | $33.88 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $48.98 | Professional | None | $26.92 | $33.88 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.88 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $12.88 | $18.20 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $58.88 | Professional | None | $33.88 | $48.98 | $58.88 |
AvMed Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $61.66 | Facility | None | $39.81 | $47.86 | $61.66 |
AvMed Setting Professional Modifier None Typical Low $36.31 Median $47.86 Typical High $61.66 | Professional | None | $36.31 | $47.86 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $77.62 | Professional | None | $21.38 | $32.36 | $77.62 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $72.44 Typical High $72.44 | Facility | None | $70.79 | $72.44 | $72.44 |
Florida Blue Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $45.71 | Professional | None | $39.81 | $39.81 | $45.71 |
Molina Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $91.20 | Professional | None | $51.29 | $69.18 | $91.20 |
United Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Facility | None | $43.65 | $46.77 | $46.77 |
United Setting Professional Modifier None Typical Low $28.84 Median $52.48 Typical High $67.61 | Professional | None | $28.84 | $52.48 | $67.61 |
Wellpoint Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $30.20 | Professional | None | $20.89 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 25 · Same-day visit | $57.54 | $57.54 | $57.54 |
Where Florida sits
The same service costs 2.6 times more in North Dakota than in Oklahoma. 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· 35th of 51
$37.15
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.