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 $173.78 Median $426.58 Typical High $1,202.26 | Facility | None | $173.78 | $426.58 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $354.81 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $177.83 Median $194.98 Typical High $239.88 | Professional | 52 · Reduced service | $177.83 | $194.98 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $77.62 Typical High $97.72 | Professional | 53 · Discontinued | $72.44 | $77.62 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
AvMed Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $478.63 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $2,454.71 | Facility | None | $338.84 | $501.19 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $346.74 | $2,884.03 |
Florida Blue Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $354.81 | $354.81 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $97.72 | $97.72 | $131.83 |
United Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $208.93 | $257.04 | $794.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $602.56 | Professional | None (both parts) | $97.72 | $97.72 | $602.56 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $426.58 Typical High $524.81 | Professional | 26 · Professional part | $416.87 | $426.58 | $524.81 |
Where Florida sits
The same service costs 5.5 times more in Texas than in New Mexico. 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· 48th of 51
$389
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.