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 $1.35 Median $1.35 Typical High $1.51 | Facility | None | $1.35 | $1.35 | $1.51 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.48 | Professional | None | $1.35 | $1.35 | $1.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 52 · Reduced service | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.27 Median $0.27 Typical High $0.27 | Professional | 53 · Discontinued | $0.27 | $0.27 | $0.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | 55 · Aftercare only | $0.20 | $0.20 | $0.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.14 | $0.14 | $0.14 |
AvMed Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $5.01 | Professional | None | $1.35 | $1.35 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $2.04 Typical High $2.95 | Facility | None | $1.51 | $2.04 | $2.95 |
Cigna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.45 | Professional | None | $1.35 | $1.35 | $1.45 |
Florida Blue Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $1.35 | Facility | None | $0.48 | $0.48 | $1.35 |
Florida Blue Setting Professional Modifier None Typical Low $1.35 Median $1.45 Typical High $1.45 | Professional | None | $1.35 | $1.45 | $1.45 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.45 | Professional | None | $1.35 | $1.35 | $1.45 |
Wellpoint Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.45 | Professional | None | $1.35 | $1.35 | $1.45 |
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 $1.15 Median $1.15 Typical High $1.15 | Professional | JZ · No drug discarded | $1.15 | $1.15 | $1.15 |
Where Florida sits
The same service costs 3.2 times more in Wyoming than in Maine. 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· 47th of 51
$1.35
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.