How much rates vary
Facilitymedian $138 · 10th to 90th $66 to $2,692Professionalmedian $138 · 10th to 90th $76 to $269
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 $95.50 Median $128.82 Typical High $269.15 | Professional | None (both parts) | $95.50 | $128.82 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $39.81 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $81.28 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $117.49 | $144.54 | $181.97 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $1,479.11 Typical High $4,466.84 | Facility | None | $93.33 | $1,479.11 | $4,466.84 |
AvMed Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $89.13 | $109.65 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $2,290.87 Typical High $2,691.53 | Facility | None | $50.12 | $2,290.87 | $2,691.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $131.83 | $169.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $39.81 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $125.89 | $239.88 |
Florida Blue Setting Facility Modifier None Typical Low $61.66 Median $107.15 Typical High $194.98 | Facility | None | $61.66 | $107.15 | $194.98 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $97.72 | $112.20 | $204.17 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $30.20 | $89.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $83.18 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $38.02 | $134.90 | $263.03 |
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 $173.78 Typical High $295.12 | Professional | None (both parts) | $60.26 | $173.78 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $50.12 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $131.83 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $120.23 | $120.23 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $89.13 | $109.65 |
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 $47.86 Median $56.23 Typical High $97.72 | Professional | 52 · Reduced service | $47.86 | $56.23 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $22.39 Typical High $38.90 | Professional | 53 · Discontinued | $19.50 | $22.39 | $38.90 |
Where Florida sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$138
AK $759TX $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.