How much rates vary
Facilitymedian $204 · 10th to 90th $100 to $479Professionalmedian $191 · 10th to 90th $115 to $398
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 $128.82 Median $181.97 Typical High $426.58 | Facility | None | $128.82 | $181.97 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $194.98 Typical High $467.74 | Professional | None (both parts) | $128.82 | $194.98 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $64.57 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $316.23 | Professional | TC · Technical part | $79.43 | $128.82 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $134.90 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $131.83 | Professional | 26 · Professional part | $38.02 | $38.02 | $131.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $97.72 | $120.23 | $120.23 |
AvMed Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $478.63 | Facility | None | $194.98 | $257.04 | $478.63 |
AvMed Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $288.40 | Professional | None (both parts) | $134.90 | $194.98 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $162.18 Typical High $812.83 | Facility | None | $75.86 | $162.18 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $398.11 | Professional | None (both parts) | $123.03 | $173.78 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $109.65 | $269.15 |
Florida Blue Setting Facility Modifier None Typical Low $38.90 Median $173.78 Typical High $275.42 | Facility | None | $38.90 | $173.78 | $275.42 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $380.19 | Professional | None (both parts) | $112.20 | $190.55 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $81.28 | $218.78 | $380.19 |
United Setting Facility Modifier None Typical Low $416.87 Median $446.68 Typical High $446.68 | Facility | None | $416.87 | $446.68 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $562.34 | Professional | None (both parts) | $120.23 | $169.82 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $199.53 | Professional | 26 · Professional part | $39.81 | $52.48 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $77.62 | $117.49 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $218.78 | $218.78 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $60.26 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $158.49 | $158.49 | $194.98 |
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 $64.57 Median $83.18 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $83.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.11 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $33.11 | $44.67 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in Alabama. 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· 49th of 51
$195
AK $575AL $138
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.