How much rates vary
Facilitymedian $275 · 10th to 90th $110 to $2,951Professionalmedian $162 · 10th to 90th $71 to $324
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 $407.38 Median $3,090.30 Typical High $11,481.54 | Facility | None | $407.38 | $3,090.30 | $11,481.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $316.23 | Professional | None (both parts) | $162.18 | $173.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $70.79 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $93.33 | $109.65 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
AvMed Setting Facility Modifier None Typical Low $102.33 Median $630.96 Typical High $2,818.38 | Facility | None | $102.33 | $630.96 | $2,818.38 |
AvMed Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $100.00 | $128.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $257.04 Typical High $1,659.59 | Facility | None | $120.23 | $257.04 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $158.49 | $213.80 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $75.86 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $134.90 | $251.19 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $251.19 Typical High $3,019.95 | Facility | None | $114.82 | $251.19 | $3,019.95 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $138.04 | $147.91 | $229.09 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $58.88 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $87.10 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $60.26 | $138.04 | $288.40 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $60.26 | $229.09 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $89.13 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $158.49 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $154.88 | $154.88 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $58.88 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | TC · Technical part | $95.50 | $95.50 | $117.49 |
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 $79.43 Median $87.10 Typical High $117.49 | Professional | 52 · Reduced service | $79.43 | $87.10 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $47.86 | Professional | 53 · Discontinued | $32.36 | $34.67 | $47.86 |
Where Florida sits
The same service costs 5.2 times more in Wisconsin than in Utah. 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· 49th of 51
$174
WI $708UT $135
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.