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 $74.13 Median $89.13 Typical High $107.15 | Facility | None | $74.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $112.20 | Professional | None | $83.18 | $107.15 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $117.49 Typical High $123.03 | Facility | None | $93.33 | $117.49 | $123.03 |
AvMed Setting Professional Modifier None Typical Low $91.20 Median $112.20 Typical High $123.03 | Professional | None | $91.20 | $112.20 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Florida Blue Setting Professional Modifier None Typical Low $50.12 Median $104.71 Typical High $128.82 | Professional | None | $50.12 | $104.71 | $128.82 |
Molina Setting Professional Modifier None Typical Low $77.62 Median $85.11 Typical High $213.80 | Professional | None | $77.62 | $85.11 | $213.80 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
United Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $151.36 | Professional | None | $77.62 | $97.72 | $151.36 |
Wellpoint Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
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 SA · Nurse practitioner Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | SA · Nurse practitioner | $123.03 | $123.03 | $123.03 |
Where Florida sits
The same service costs 2.8 times more in Alaska than in Texas. 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· 46th of 51
$105
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.