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 $3.39 Median $3.39 Typical High $9.33 | Facility | None | $3.39 | $3.39 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $4.37 | Professional | None | $3.39 | $3.39 | $4.37 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.70 Typical High $1.70 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.50 Median $0.50 Typical High $0.51 | Professional | 55 · Aftercare only | $0.50 | $0.50 | $0.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.34 Median $0.34 Typical High $0.34 | Professional | 56 · Pre-op care only | $0.34 | $0.34 | $0.34 |
AvMed Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $22.39 | Professional | None | $3.39 | $3.39 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $5.01 Typical High $7.76 | Facility | None | $4.79 | $5.01 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.63 | Professional | None | $3.39 | $3.39 | $3.63 |
Florida Blue Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
Florida Blue Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
United Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $81.28 | Professional | None | $30.90 | $32.36 | $81.28 |
Wellpoint Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | None | $3.39 | $3.39 | $3.55 |
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 $3.39 Median $3.39 Typical High $30.90 | Professional | JZ · No drug discarded | $3.39 | $3.39 | $30.90 |
Where Florida sits
The same service costs 9.1 times more in Rhode Island 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
$3.39
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.