How much rates vary
Facilitymedian $91 · 10th to 90th $26 to $2,754Professionalmedian $47 · 10th to 90th $28 to $91
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 $38.90 Median $50.12 Typical High $467.74 | Facility | None | $38.90 | $50.12 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $38.90 | $43.65 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $27.54 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $16.98 Typical High $30.90 | Professional | TC · Technical part | $12.59 | $16.98 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $37.15 | $46.77 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $30.90 | $41.69 |
AvMed Setting Facility Modifier None Typical Low $17.78 Median $512.86 Typical High $2,818.38 | Facility | None | $17.78 | $512.86 | $2,818.38 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.22 Median $18.20 Typical High $22.39 | Professional | None (both parts) | $16.22 | $18.20 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $24.55 Typical High $45.71 | Facility | None | $19.50 | $24.55 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $47.86 Typical High $91.20 | Professional | None (both parts) | $34.67 | $47.86 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $30.90 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.20 Typical High $33.11 | Professional | TC · Technical part | $13.49 | $18.20 | $33.11 |
Florida Blue Setting Facility Modifier None Typical Low $33.88 Median $70.79 Typical High $2,951.21 | Facility | None | $33.88 | $70.79 | $2,951.21 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $33.88 | $38.90 | $48.98 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $23.44 | $35.48 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $14.13 Typical High $19.50 | Professional | TC · Technical part | $9.77 | $14.13 | $19.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $27.54 | $53.70 | $100.00 |
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 $37.15 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $37.15 | $54.95 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $19.50 Typical High $39.81 | Professional | TC · Technical part | $13.18 | $19.50 | $39.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $38.90 | $38.90 | $51.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $22.91 | $30.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $20.42 | Professional | TC · Technical part | $16.22 | $16.22 | $20.42 |
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 $19.50 Median $21.38 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $8.51 | $10.00 |
Where Florida sits
The same service costs 6.5 times more in Minnesota 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· 41st of 51
$54.95
MN $295KY $45.71
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.