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 $89.13 Median $114.82 Typical High $138.04 | Facility | None | $89.13 | $114.82 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $128.82 Typical High $165.96 | Professional | None | $89.13 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $64.57 Typical High $81.28 | Professional | 52 · Reduced service | $44.67 | $64.57 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $229.09 | Professional | None | $186.21 | $218.78 | $229.09 |
AvMed Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $229.09 | Facility | None | $128.82 | $181.97 | $229.09 |
AvMed Setting Professional Modifier None Typical Low $128.82 Median $181.97 Typical High $234.42 | Professional | None | $128.82 | $181.97 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $147.91 Typical High $251.19 | Professional | None | $97.72 | $147.91 | $251.19 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $6,309.57 | Facility | None | $251.19 | $257.04 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $165.96 | Professional | None | $151.36 | $151.36 | $165.96 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $478.63 Typical High $602.56 | Professional | None | $223.87 | $478.63 | $602.56 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $165.96 | Facility | None | $154.88 | $154.88 | $165.96 |
United Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $269.15 | Professional | None | $100.00 | $151.36 | $269.15 |
Wellpoint Setting Professional Modifier None Typical Low $123.03 Median $218.78 Typical High $218.78 | Professional | None | $123.03 | $218.78 | $218.78 |
2 more rates 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 $165.96 Median $204.17 Typical High $218.78 | Professional | 25 · Same-day visit | $165.96 | $204.17 | $218.78 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $199.53 Median $199.53 Typical High $218.78 | Professional | SA · Nurse practitioner | $199.53 | $199.53 | $218.78 |
Where Florida sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 45th of 51
$138
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.