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 $70.79 Median $74.13 Typical High $91.20 | Facility | None | $70.79 | $74.13 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $97.72 | Professional | None | $70.79 | $79.43 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $141.25 Typical High $288.40 | Professional | None | $104.71 | $141.25 | $288.40 |
AvMed Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
AvMed Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $173.78 | Professional | None | $128.82 | $162.18 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Professional | None | $85.11 | $85.11 | $114.82 |
Florida Blue Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Florida Blue Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | None | $104.71 | $173.78 | $173.78 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $46.77 Typical High $51.29 | Professional | None | $34.67 | $46.77 | $51.29 |
United Setting Facility Modifier None Typical Low $72.44 Median $89.13 Typical High $194.98 | Facility | None | $72.44 | $89.13 | $194.98 |
United Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $102.33 | Professional | None | $64.57 | $85.11 | $102.33 |
Wellpoint Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $173.78 | Professional | None | $46.77 | $46.77 | $173.78 |
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 KX · Policy requirements met Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KX · Policy requirements met | $131.83 | $131.83 | $131.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Where Florida sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 40th of 51
$85.11
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.