How much rates vary
Facilitymedian $66 · 10th to 90th $37 to $263Professionalmedian $62 · 10th to 90th $45 to $115
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 $48.98 Median $52.48 Typical High $173.78 | Facility | None | $48.98 | $52.48 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $91.20 | Professional | None (both parts) | $48.98 | $56.23 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.13 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $34.67 | $38.90 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
AvMed Setting Facility Modifier None Typical Low $60.26 Median $81.28 Typical High $151.36 | Facility | None | $60.26 | $81.28 | $151.36 |
AvMed Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $48.98 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $263.03 | Facility | None | $37.15 | $60.26 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $138.04 | Professional | None (both parts) | $39.81 | $51.29 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $35.48 | Professional | 26 · Professional part | $10.00 | $14.13 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $39.81 Typical High $102.33 | Professional | TC · Technical part | $29.51 | $39.81 | $102.33 |
Florida Blue Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $51.29 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $51.29 | $79.43 | $158.49 |
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 Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $204.17 | Professional | None (both parts) | $44.67 | $58.88 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $14.13 Typical High $52.48 | Professional | 26 · Professional part | $10.47 | $14.13 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $151.36 | Professional | TC · Technical part | $33.88 | $45.71 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | None (both parts) | $64.57 | $64.57 | $79.43 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $14.79 | $14.79 | $18.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $48.98 | $48.98 | $60.26 |
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 $24.55 Median $26.30 Typical High $36.31 | Professional | 52 · Reduced service | $24.55 | $26.30 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $14.45 | Professional | 53 · Discontinued | $9.77 | $10.47 | $14.45 |
Where Florida sits
The same service costs 4.0 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
$63.10
AK $234AL $58.88
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.