How much rates vary
Facilitymedian $309 · 10th to 90th $115 to $2,818Professionalmedian $234 · 10th to 90th $105 to $468
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 $398.11 Median $3,019.95 Typical High $11,481.54 | Facility | None | $398.11 | $3,019.95 | $11,481.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $380.19 | Professional | None (both parts) | $223.87 | $257.04 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $75.86 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $181.97 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $389.05 | $389.05 | $467.74 |
AvMed Setting Facility Modifier None Typical Low $154.88 Median $616.60 Typical High $2,398.83 | Facility | None | $154.88 | $616.60 | $2,398.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $151.36 | $194.98 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $288.40 Typical High $1,659.59 | Facility | None | $134.90 | $288.40 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $204.17 | $281.84 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $199.53 | $380.19 |
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 $186.21 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $186.21 | $199.53 | $316.23 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $64.57 | $97.72 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $125.89 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $89.13 | $213.80 | $446.68 |
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 $309.03 Typical High $588.84 | Professional | None (both parts) | $60.26 | $309.03 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $100.00 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $158.49 | $239.88 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $208.93 | $208.93 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $66.07 | $85.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | TC · Technical part | $144.54 | $144.54 | $177.83 |
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 $112.20 Median $128.82 Typical High $158.49 | Professional | 52 · Reduced service | $112.20 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $51.29 Typical High $64.57 | Professional | 53 · Discontinued | $44.67 | $51.29 | $64.57 |
Where Florida sits
The same service costs 4.8 times more in Alaska 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
$245
AK $1,000UT $209
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.