How much rates vary
Facilitymedian $29 · 10th to 90th $17 to $87Professionalmedian $43 · 10th to 90th $26 to $85
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 $32.36 Median $40.74 Typical High $83.18 | Facility | None | $32.36 | $40.74 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $79.43 | Professional | None (both parts) | $32.36 | $41.69 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $26.30 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $14.13 Typical High $28.84 | Professional | TC · Technical part | $12.59 | $14.13 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $57.54 | Professional | 26 · Professional part | $16.22 | $16.22 | $57.54 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $50.12 | Facility | None | $20.42 | $26.92 | $50.12 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.22 Median $21.38 Typical High $54.95 | Professional | None (both parts) | $16.22 | $21.38 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $19.50 Typical High $87.10 | Facility | None | $13.18 | $19.50 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $85.11 | Professional | None (both parts) | $26.30 | $35.48 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $57.54 | Professional | 26 · Professional part | $16.60 | $23.44 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $12.59 Typical High $29.51 | Professional | TC · Technical part | $9.55 | $12.59 | $29.51 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $30.20 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $30.20 | $61.66 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $26.92 | $46.77 | $85.11 |
United Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $213.80 | Facility | None | $199.53 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $34.67 Typical High $125.89 | Professional | None (both parts) | $26.30 | $34.67 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $16.98 | $22.39 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $12.59 Typical High $43.65 | Professional | TC · Technical part | $8.91 | $12.59 | $43.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $42.66 | $42.66 | $52.48 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $25.70 | $33.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | TC · Technical part | $16.60 | $16.60 | $20.42 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.22 Median $17.78 Typical High $22.39 | Professional | 52 · Reduced service | $16.22 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $8.91 | Professional | 53 · Discontinued | $6.46 | $7.08 | $8.91 |
Where Florida sits
The same service costs 3.2 times more in Wisconsin than in Nevada. 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
$41.69
WI $112NV $34.67
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.