How much rates vary
Facilitymedian $112 · 10th to 90th $39 to $3,236Professionalmedian $81 · 10th to 90th $47 to $158
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 $70.79 Median $81.28 Typical High $812.83 | Facility | None | $70.79 | $81.28 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $75.86 | $81.28 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $45.71 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $64.57 | Professional | TC · Technical part | $31.62 | $40.74 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $93.33 | $141.25 | $218.78 |
AvMed Setting Facility Modifier None Typical Low $48.98 Median $2,137.96 Typical High $11,748.98 | Facility | None | $48.98 | $2,137.96 | $11,748.98 |
AvMed Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $38.02 | $46.77 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $112.20 Typical High $1,659.59 | Facility | None | $53.70 | $112.20 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $60.26 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $34.67 | $50.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $25.70 | $37.15 | $72.44 |
Florida Blue Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $3,019.95 | Facility | None | $34.67 | $70.79 | $3,019.95 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $72.44 Median $79.43 Typical High $102.33 | Professional | None (both parts) | $72.44 | $79.43 | $102.33 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $39.81 | $51.29 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.90 Typical High $50.12 | Professional | TC · Technical part | $35.48 | $38.90 | $50.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $83.18 Typical High $169.82 | Professional | None (both parts) | $38.02 | $83.18 | $169.82 |
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 $58.88 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $58.88 | $95.50 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $44.67 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $74.13 | $74.13 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $35.48 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $52.48 | Professional | TC · Technical part | $38.90 | $38.90 | $52.48 |
4 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 $38.02 Median $38.90 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $38.90 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.49 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $15.49 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $11.75 Typical High $14.13 | Professional | 55 · Aftercare only | $11.22 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $7.76 Typical High $9.55 | Professional | 56 · Pre-op care only | $7.59 | $7.76 | $9.55 |
Where Florida sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 48th of 51
$85.11
AK $331AL $56.23
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.