How much rates vary
Facilitymedian $50 · 10th to 90th $31 to $98Professionalmedian $56 · 10th to 90th $32 to $95
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 $31.62 Median $52.48 Typical High $56.23 | Facility | None | $31.62 | $52.48 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $52.48 Typical High $60.26 | Professional | None (both parts) | $31.62 | $52.48 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $31.62 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $31.62 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $21.38 Typical High $25.12 | Professional | TC · Technical part | $12.59 | $21.38 | $25.12 |
AvMed Setting Facility Modifier None Typical Low $27.54 Median $30.20 Typical High $38.90 | Facility | None | $27.54 | $30.20 | $38.90 |
AvMed Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $24.55 | $33.88 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $75.86 Typical High $125.89 | Facility | None | $67.61 | $75.86 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $354.81 | Professional | None (both parts) | $60.26 | $60.26 | $354.81 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $52.48 Typical High $97.72 | Facility | None | $32.36 | $52.48 | $97.72 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $67.61 | Professional | None (both parts) | $47.86 | $66.07 | $67.61 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $30.90 | $33.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $37.15 | Professional | TC · Technical part | $21.88 | $34.67 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
United Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Facility | None | $43.65 | $46.77 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $69.18 Typical High $138.04 | Professional | None (both parts) | $43.65 | $69.18 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $25.70 | $39.81 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $17.78 | $28.84 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $33.88 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | TC · Technical part | $26.92 | $26.92 | $26.92 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $26.30 Typical High $30.20 | Professional | 52 · Reduced service | $15.85 | $26.30 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $10.47 Typical High $12.02 | Professional | 53 · Discontinued | $6.31 | $10.47 | $12.02 |
Where Florida sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 46th of 51
$56.23
TX $537AR $36.31
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.