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 $0.05 Median $0.06 Typical High $0.10 | Facility | None | $0.05 | $0.06 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.03 Median $0.03 Typical High $0.03 | Professional | 52 · Reduced service | $0.03 | $0.03 | $0.03 |
Ambetter Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
AvMed Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.43 | Professional | None | $0.06 | $0.06 | $0.43 |
Cigna Setting Facility Modifier None Typical Low $0.08 Median $0.09 Typical High $0.14 | Facility | None | $0.08 | $0.09 | $0.14 |
Cigna Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
Florida Blue Setting Facility Modifier None Typical Low $0.06 Median $8.91 Typical High $8.91 | Facility | None | $0.06 | $8.91 | $8.91 |
Florida Blue Setting Professional Modifier None Typical Low $0.03 Median $0.06 Typical High $0.06 | Professional | None | $0.03 | $0.06 | $0.06 |
Molina Setting Professional Modifier None Typical Low $0.06 Median $0.12 Typical High $0.18 | Professional | None | $0.06 | $0.12 | $0.18 |
United Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.08 | Professional | None | $0.08 | $0.08 | $0.08 |
Wellpoint Setting Professional Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | None | $0.06 | $0.06 | $0.06 |
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 JW · Drug discarded Typical Low $7.08 Median $7.94 Typical High $7.94 | Professional | JW · Drug discarded | $7.08 | $7.94 | $7.94 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $5.01 Median $6.03 Typical High $7.94 | Professional | JZ · No drug discarded | $5.01 | $6.03 | $7.94 |
Where Florida sits
The same service costs 8.5 times more in Wyoming than in New Jersey. 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· 26th of 51
$0.06
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.