How much rates vary
Facilitymedian $54 · 10th to 90th $20 to $182Professionalmedian $23 · 10th to 90th $19 to $55
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 $19.05 Median $19.95 Typical High $138.04 | Facility | None | $19.05 | $19.95 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $24.55 Typical High $45.71 | Professional | None (both parts) | $19.05 | $24.55 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.41 Typical High $13.80 | Professional | 26 · Professional part | $5.89 | $7.41 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.60 Typical High $31.62 | Professional | TC · Technical part | $13.18 | $16.60 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.44 Typical High $28.84 | Professional | None (both parts) | $17.78 | $23.44 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $7.08 Typical High $10.47 | Professional | 26 · Professional part | $5.01 | $7.08 | $10.47 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $16.22 | $33.11 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $91.20 | Facility | None | $20.42 | $30.20 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.22 Median $20.42 Typical High $22.91 | Professional | None (both parts) | $16.22 | $20.42 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $141.25 Typical High $263.03 | Facility | None | $45.71 | $141.25 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $52.48 | Professional | None (both parts) | $20.42 | $22.91 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.31 Typical High $17.38 | Professional | 26 · Professional part | $6.17 | $6.31 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $15.49 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $15.49 | $35.48 |
Florida Blue Setting Facility Modifier None Typical Low $37.15 Median $75.86 Typical High $114.82 | Facility | None | $37.15 | $75.86 | $114.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $20.42 Median $28.18 Typical High $36.31 | Professional | None (both parts) | $20.42 | $28.18 | $36.31 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $6.61 | $9.77 | $12.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $18.62 Typical High $24.55 | Professional | TC · Technical part | $14.13 | $18.62 | $24.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.61 Median $28.84 Typical High $72.44 | Professional | None (both parts) | $6.61 | $28.84 | $72.44 |
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 $20.89 Median $23.99 Typical High $47.86 | Professional | None (both parts) | $20.89 | $23.99 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $15.85 | Professional | 26 · Professional part | $6.92 | $7.94 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.60 Typical High $33.11 | Professional | TC · Technical part | $13.80 | $16.60 | $33.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 26 · Professional part | $5.75 | $5.75 | $5.75 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
1 more rate 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 Q6 · Substitute physician, paid per time Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | Q6 · Substitute physician, paid per time | $23.44 | $23.44 | $23.44 |
Where Florida sits
The same service costs 5.0 times more in Vermont than in New York. 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· 50th of 51
$23.44
VT $110NY $21.88
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.