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 $15.14 Median $19.05 Typical High $21.88 | Facility | None | $15.14 | $19.05 | $21.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.50 Typical High $23.44 | Professional | None (both parts) | $16.22 | $19.50 | $23.44 |
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 $6.17 Median $6.76 Typical High $6.92 | Professional | None (both parts) | $6.17 | $6.76 | $6.92 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $17.38 Median $25.12 Typical High $35.48 | Professional | None (both parts) | $17.38 | $25.12 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $2,511.89 Typical High $2,511.89 | Professional | None (both parts) | $50.12 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $45.71 | $45.71 | $47.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
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 $6.31 Median $7.76 Typical High $9.77 | Professional | 26 · Professional part | $6.31 | $7.76 | $9.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.49 Typical High $15.85 | Professional | TC · Technical part | $12.02 | $13.49 | $15.85 |
Where Florida sits
The same service costs 20.9 times more in Arizona than in New Jersey. 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
$21.88
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.