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 $56.23 Median $56.23 Typical High $69.18 | Facility | None | $56.23 | $56.23 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $60.26 Typical High $70.79 | Professional | None | $56.23 | $60.26 | $70.79 |
AvMed Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
AvMed Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $134.90 | Professional | None | $100.00 | $125.89 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $104.71 | Professional | None | $89.13 | $89.13 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Florida Blue Setting Professional Modifier None Typical Low $81.28 Median $134.90 Typical High $134.90 | Professional | None | $81.28 | $134.90 | $134.90 |
Molina Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $50.12 Median $66.07 Typical High $89.13 | Professional | None | $50.12 | $66.07 | $89.13 |
Wellpoint Setting Professional Modifier None Typical Low $134.90 Median $234.42 Typical High $234.42 | Professional | None | $134.90 | $234.42 | $234.42 |
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 RA · Replacement item Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | RA · Replacement item | $162.18 | $162.18 | $162.18 |
Where Florida sits
The same service costs 2.0 times more in Montana than in Kentucky. 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· 34th of 51
$89.13
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.