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 $512.86 Typical High $1,445.44 | Facility | None | $173.78 | $512.86 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $467.74 Typical High $537.03 | Professional | None (both parts) | $436.52 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $213.80 Median $234.42 Typical High $288.40 | Professional | 52 · Reduced service | $213.80 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $93.33 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $93.33 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
AvMed Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $575.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $575.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $2,951.21 | Facility | None | $363.08 | $549.54 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Florida Blue Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $616.60 | Professional | None (both parts) | $436.52 | $436.52 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $50.12 | $436.52 | $588.84 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $309.03 Typical High $954.99 | Professional | None (both parts) | $251.19 | $309.03 | $954.99 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $724.44 | Professional | None (both parts) | $436.52 | $436.52 | $724.44 |
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 $478.63 Median $588.84 Typical High $831.76 | Professional | 26 · Professional part | $478.63 | $588.84 | $831.76 |
Where Florida sits
The same service costs 10.2 times more in Texas than in Alabama. 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· 41st of 51
$468
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.