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 $15.85 Median $21.88 Typical High $25.70 | Facility | None | $15.85 | $21.88 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $23.44 Typical High $26.30 | Professional | None | $18.20 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.71 Median $11.75 Typical High $12.88 | Professional | 52 · Reduced service | $8.71 | $11.75 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $35.48 | Professional | None | $30.20 | $33.88 | $35.48 |
AvMed Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $36.31 | Facility | None | $26.92 | $28.84 | $36.31 |
AvMed Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $35.48 | Professional | None | $24.55 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Florida Blue Setting Facility Modifier None Typical Low $190.55 Median $194.98 Typical High $6,309.57 | Facility | None | $190.55 | $194.98 | $6,309.57 |
Florida Blue Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $27.54 | Professional | None | $23.99 | $23.99 | $27.54 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $44.67 | Professional | None | $26.92 | $35.48 | $44.67 |
United Setting Facility Modifier None Typical Low $117.49 Median $125.89 Typical High $125.89 | Facility | None | $117.49 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $46.77 | Professional | None | $18.20 | $25.12 | $46.77 |
Wellpoint Setting Professional Modifier None Typical Low $26.30 Median $33.88 Typical High $33.88 | Professional | None | $26.30 | $33.88 | $33.88 |
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 59 · Distinct service Typical Low $26.30 Median $30.20 Typical High $35.48 | Professional | 59 · Distinct service | $26.30 | $30.20 | $35.48 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | XU · Unusual separate service | $40.74 | $40.74 | $40.74 |
Where Florida sits
The same service costs 2.7 times more in North Dakota 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· 42nd of 51
$23.99
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.