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 $33.88 Median $42.66 Typical High $46.77 | Facility | None | $33.88 | $42.66 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $35.48 | $43.65 | $51.29 |
AvMed Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.89 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $20.89 | $22.91 | $22.91 |
Florida Blue Setting Facility Modifier None Typical Low $457.09 Median $19,952.62 Typical High $19,952.62 | Facility | None | $457.09 | $19,952.62 | $19,952.62 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $40.74 Median $61.66 Typical High $87.10 | Professional | None (both parts) | $40.74 | $61.66 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $70.79 Typical High $2,511.89 | Professional | None (both parts) | $50.12 | $70.79 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $112.20 | Professional | None (both parts) | $107.15 | $107.15 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $13.18 | $15.85 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $23.44 | $26.92 | $32.36 |
Where Florida sits
The same service costs 10.5 times more in Arizona than in West Virginia. 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
$46.77
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.