How much rates vary
Facilitymedian $69 · 10th to 90th $25 to $324Professionalmedian $28 · 10th to 90th $22 to $63
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 $23.44 Median $23.44 Typical High $70.79 | Facility | None | $23.44 | $23.44 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $52.48 | Professional | None (both parts) | $23.44 | $27.54 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $16.60 | Professional | 26 · Professional part | $7.41 | $9.12 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $36.31 | Professional | TC · Technical part | $16.22 | $18.62 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.18 Typical High $30.20 | Professional | None (both parts) | $23.99 | $28.18 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $6.17 | $8.51 | $11.48 |
AvMed Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $109.65 | Facility | None | $24.55 | $36.31 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $19.50 Median $25.12 Typical High $27.54 | Professional | None (both parts) | $19.50 | $25.12 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $213.80 Typical High $380.19 | Facility | None | $53.70 | $213.80 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $27.54 Typical High $64.57 | Professional | None (both parts) | $25.12 | $27.54 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.13 Typical High $21.88 | Professional | 26 · Professional part | $7.76 | $8.13 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $18.62 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $18.62 | $43.65 |
Florida Blue Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $138.04 | Facility | None | $43.65 | $89.13 | $138.04 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $43.65 | Professional | None (both parts) | $25.12 | $34.67 | $43.65 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $12.59 | $15.14 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $16.98 | $21.88 | $29.51 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $7.94 | $30.20 | $74.13 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $25.12 | $29.51 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.00 Typical High $19.95 | Professional | 26 · Professional part | $8.51 | $10.00 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $19.95 | $39.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None (both parts) | $23.99 | $23.99 | $23.99 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | TC · Technical part | $16.98 | $16.98 | $16.98 |
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 $28.18 Median $28.18 Typical High $28.18 | Professional | Q6 · Substitute physician, paid per time | $28.18 | $28.18 | $28.18 |
Where Florida sits
The same service costs 4.3 times more in Minnesota 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
$28.18
MN $115NY $26.92
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.