How much rates vary
Facilitymedian $151 · 10th to 90th $23 to $174Professionalmedian $26 · 10th to 90th $21 to $54
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 $21.38 Median $48.98 Typical High $234.42 | Facility | None | $21.38 | $48.98 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $15.49 Typical High $42.66 | Facility | TC · Technical part | $14.45 | $15.49 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $51.29 | Professional | None (both parts) | $21.38 | $26.92 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.91 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $17.78 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $17.78 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $25.70 Typical High $30.20 | Professional | None (both parts) | $21.88 | $25.70 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $9.77 | Professional | 26 · Professional part | $7.24 | $8.32 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $17.78 Typical High $33.88 | Professional | TC · Technical part | $15.14 | $17.78 | $33.88 |
AvMed Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $91.20 | Facility | None | $22.39 | $32.36 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.39 Typical High $25.12 | Professional | None (both parts) | $17.78 | $22.39 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $123.03 Typical High $208.93 | Facility | None | $23.44 | $123.03 | $208.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $58.88 | Professional | None (both parts) | $22.91 | $25.12 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.59 Typical High $20.42 | Professional | 26 · Professional part | $7.41 | $7.59 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $16.60 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $16.60 | $38.90 |
Florida Blue Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $169.82 | Facility | None | $75.86 | $165.96 | $169.82 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $169.82 | Facility | 26 · Professional part | $165.96 | $165.96 | $169.82 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $169.82 | Facility | TC · Technical part | $165.96 | $165.96 | $169.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $39.81 | Professional | None (both parts) | $22.91 | $31.62 | $39.81 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $11.75 | $14.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $26.30 | Professional | TC · Technical part | $15.14 | $19.95 | $26.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $67.61 | Professional | None (both parts) | $21.38 | $26.92 | $67.61 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.92 Typical High $53.70 | Professional | None (both parts) | $23.44 | $26.92 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $18.62 | Professional | 26 · Professional part | $8.13 | $9.33 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.78 Typical High $36.31 | Professional | TC · Technical part | $14.79 | $17.78 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None (both parts) | $21.88 | $21.88 | $21.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $6.76 | Professional | 26 · Professional part | $6.76 | $6.76 | $6.76 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $22.39 Median $28.18 Typical High $30.20 | Professional | 59 · Distinct service | $22.39 | $28.18 | $30.20 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $20.89 Median $20.89 Typical High $25.70 | Professional | Q6 · Substitute physician, paid per time | $20.89 | $20.89 | $25.70 |
Where Florida sits
The same service costs 17.0 times more in Vermont than in Florida. 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· 51st of 51
$26.30
VT $447FL $26.30
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.