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 $95.50 Median $169.82 Typical High $169.82 | Facility | None | $95.50 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $169.82 | Professional | None | $95.50 | $169.82 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $47.86 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $19.05 | $33.88 | $33.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $25.12 Typical High $25.70 | Professional | 55 · Aftercare only | $14.45 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $16.98 Typical High $16.98 | Professional | 56 · Pre-op care only | $9.55 | $16.98 | $16.98 |
AvMed Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
AvMed Setting Professional Modifier None Typical Low $151.36 Median $173.78 Typical High $218.78 | Professional | None | $151.36 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None | $104.71 | $104.71 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $691.83 | Facility | None | $398.11 | $398.11 | $691.83 |
Florida Blue Setting Professional Modifier None Typical Low $47.86 Median $162.18 Typical High $218.78 | Professional | None | $47.86 | $162.18 | $218.78 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $34.67 Median $60.26 Typical High $104.71 | Professional | None | $34.67 | $60.26 | $104.71 |
Wellpoint Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None | $218.78 | $218.78 | $288.40 |
3 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier CD · Dialysis lab test, bundled Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | CD · Dialysis lab test, bundled | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier CM · 80–99% impaired Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | CM · 80–99% impaired | $70.79 | $70.79 | $70.79 |
United Setting Professional Modifier XC Typical Low $1,513.56 Median $1,513.56 Typical High $1,513.56 | Professional | XC | $1,513.56 | $1,513.56 | $1,513.56 |
Where Florida sits
The same service costs 3.3 times more in Alaska than in Indiana. 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
$105
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.