How much rates vary
Facilitymedian $72 · 10th to 90th $40 to $209Professionalmedian $56 · 10th to 90th $38 to $107
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 $43.65 Median $50.12 Typical High $138.04 | Facility | None | $43.65 | $50.12 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $120.23 | Professional | None (both parts) | $43.65 | $52.48 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $21.88 | Professional | 26 · Professional part | $7.41 | $9.33 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $35.48 | $42.66 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $38.90 | $38.90 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $17.78 | Professional | 26 · Professional part | $5.75 | $5.75 | $17.78 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $162.18 | Facility | None | $66.07 | $89.13 | $162.18 |
AvMed Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $53.70 | $66.07 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $53.70 Typical High $275.42 | Facility | None | $35.48 | $53.70 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $104.71 | Professional | None (both parts) | $33.11 | $46.77 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.94 Typical High $19.50 | Professional | 26 · Professional part | $5.89 | $7.94 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $87.10 | Professional | TC · Technical part | $27.54 | $38.02 | $87.10 |
Florida Blue Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $117.49 | Professional | None (both parts) | $37.15 | $63.10 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $72.44 Typical High $100.00 | Professional | None (both parts) | $48.98 | $72.44 | $100.00 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $46.77 Typical High $154.88 | Professional | None (both parts) | $35.48 | $46.77 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.76 Typical High $29.51 | Professional | 26 · Professional part | $5.89 | $7.76 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $128.82 | Professional | TC · Technical part | $29.51 | $38.90 | $128.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | None (both parts) | $63.10 | $63.10 | $77.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 26 · Professional part | $8.91 | $8.91 | $11.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $54.95 | $54.95 | $66.07 |
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 $21.88 Median $22.39 Typical High $31.62 | Professional | 52 · Reduced service | $21.88 | $22.39 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.91 Typical High $12.59 | Professional | 53 · Discontinued | $8.71 | $8.91 | $12.59 |
Where Florida sits
The same service costs 6.0 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· 48th of 51
$58.88
AK $209AL $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.