How much rates vary
Facilitymedian $26 · 10th to 90th $6 to $100Professionalmedian $40 · 10th to 90th $25 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 $15.49 Median $33.11 Typical High $173.78 | Facility | None | $15.49 | $33.11 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.02 Typical High $85.11 | Professional | None (both parts) | $25.12 | $38.02 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $53.70 | Professional | 26 · Professional part | $18.62 | $23.44 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $14.45 Typical High $30.90 | Professional | TC · Technical part | $6.31 | $14.45 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $50.12 | Professional | 26 · Professional part | $14.45 | $14.45 | $50.12 |
AvMed Setting Facility Modifier None Typical Low $23.44 Median $30.90 Typical High $57.54 | Facility | None | $23.44 | $30.90 | $57.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $10.47 Median $20.89 Typical High $52.48 | Professional | None (both parts) | $10.47 | $20.89 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $19.05 Typical High $100.00 | Facility | None | $5.89 | $19.05 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $32.36 Typical High $72.44 | Professional | None (both parts) | $21.38 | $32.36 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $47.86 | Professional | 26 · Professional part | $14.79 | $19.95 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $11.75 Typical High $28.18 | Professional | TC · Technical part | $6.46 | $11.75 | $28.18 |
Florida Blue Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $28.84 Median $46.77 Typical High $74.13 | Professional | None (both parts) | $28.84 | $46.77 | $74.13 |
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 Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $112.20 | Professional | None (both parts) | $24.55 | $33.11 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $74.13 | Professional | 26 · Professional part | $14.79 | $19.50 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $13.80 Typical High $45.71 | Professional | TC · Technical part | $6.17 | $13.80 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $41.69 | $41.69 | $52.48 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $22.91 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | TC · Technical part | $19.05 | $19.05 | $23.44 |
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 $12.30 Median $16.60 Typical High $21.38 | Professional | 52 · Reduced service | $12.30 | $16.60 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.61 Typical High $8.71 | Professional | 53 · Discontinued | $5.01 | $6.61 | $8.71 |
Where Florida sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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· 47th of 51
$38.90
AK $141LA $30.20
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.