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 $147.91 Median $223.87 Typical High $251.19 | Facility | None | $147.91 | $223.87 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $147.91 Median $223.87 Typical High $251.19 | Professional | None | $147.91 | $223.87 | $251.19 |
AvMed Setting Professional Modifier None Typical Low $263.03 Median $281.84 Typical High $281.84 | Professional | None | $263.03 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Florida Blue Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $275.42 | Professional | None | $194.98 | $263.03 | $275.42 |
Molina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $1,513.56 | Professional | None | $50.12 | $50.12 | $1,513.56 |
United Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | None | $144.54 | $144.54 | $154.88 |
Wellpoint Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
4 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 |
|---|---|---|---|---|---|
AvMed Setting Facility Modifier KF · Class III device Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | KF · Class III device | $223.87 | $223.87 | $223.87 |
AvMed Setting Professional Modifier KF · Class III device Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | KF · Class III device | $223.87 | $223.87 | $281.84 |
Florida Blue Setting Facility Modifier KF · Class III device Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | KF · Class III device | $269.15 | $269.15 | $269.15 |
Florida Blue Setting Professional Modifier KF · Class III device Typical Low $79.43 Median $169.82 Typical High $263.03 | Professional | KF · Class III device | $79.43 | $169.82 | $263.03 |
Where Florida sits
The same service costs 2.1 times more in Montana than in Hawaii. 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· 43rd of 51
$162
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.