How much rates vary
Facilitymedian $2,239 · 10th to 90th $309 to $5,495Professionalmedian $302 · 10th to 90th $71 to $537
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 $177.83 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $177.83 | $239.88 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $87.10 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $154.88 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
AvMed Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $6,025.60 | Facility | None | $257.04 | $457.09 | $6,025.60 |
AvMed Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $147.91 | $251.19 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $141.25 Typical High $645.65 | Facility | None | $138.04 | $141.25 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $707.95 | Professional | None (both parts) | $302.00 | $346.74 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $89.13 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $218.78 | $251.19 | $537.03 |
Florida Blue Setting Facility Modifier None Typical Low $1,513.56 Median $2,454.71 Typical High $4,365.16 | Facility | None | $1,513.56 | $2,454.71 | $4,365.16 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $120.23 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $120.23 | $269.15 | $389.05 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $79.43 | $107.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $63.10 | $199.53 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $288.40 Typical High $537.03 | Professional | None (both parts) | $54.95 | $288.40 | $537.03 |
United Setting Facility Modifier None Typical Low $169.82 Median $1,621.81 Typical High $5,248.07 | Facility | None | $169.82 | $1,621.81 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $173.78 | $331.13 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $95.50 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $134.90 | $251.19 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
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 $89.13 Median $120.23 Typical High $234.42 | Professional | 52 · Reduced service | $89.13 | $120.23 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $47.86 Typical High $95.50 | Professional | 53 · Discontinued | $35.48 | $47.86 | $95.50 |
Where Florida sits
The same service costs 6.5 times more in Alaska than in Kentucky. 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· 45th of 51
$302
AK $1,413KY $219
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.