How much rates vary
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 $67.61 Median $72.44 Typical High $323.59 | Facility | None | $67.61 | $72.44 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $67.61 | $79.43 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $38.02 | Professional | 26 · Professional part | $19.05 | $21.88 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $56.23 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $72.44 | $87.10 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $23.44 | $41.69 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $177.83 | Facility | None | $79.43 | $109.65 | $177.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $67.61 | $79.43 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $436.52 | Facility | None | $57.54 | $102.33 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $186.21 | Professional | None (both parts) | $70.79 | $75.86 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $20.89 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $53.70 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $53.70 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $147.91 | Professional | None (both parts) | $77.62 | $112.20 | $147.91 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $32.36 | $39.81 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $104.71 | Professional | TC · Technical part | $56.23 | $79.43 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $257.04 | Professional | None (both parts) | $33.11 | $97.72 | $257.04 |
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 $77.62 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $77.62 | $89.13 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $25.12 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $64.57 | $128.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 59 · Distinct service Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 59 · Distinct service | $87.10 | $87.10 | $93.33 |
Where Florida sits
The same service costs 3.7 times more in Alaska than in Texas. 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
$87.10
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.