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 $5.37 Median $5.37 Typical High $7.24 | Facility | None | $5.37 | $5.37 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.89 | Professional | None | $5.37 | $5.37 | $5.89 |
AvMed Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
AvMed Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $7.94 | Professional | None | $5.37 | $5.37 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $8.13 Typical High $11.22 | Facility | None | $6.03 | $8.13 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.89 | Professional | None | $5.37 | $5.37 | $5.89 |
Florida Blue Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Florida Blue Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
United Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.89 | Professional | None | $5.50 | $5.50 | $5.89 |
Wellpoint Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.75 | Professional | None | $5.37 | $5.37 | $5.75 |
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 JZ · No drug discarded Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | JZ · No drug discarded | $5.37 | $5.37 | $5.37 |
Where Florida sits
The same service costs 1.6 times more in Arizona than in Florida. 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· 51st of 51
$5.37
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.