How much rates vary
Facilitymedian $145 · 10th to 90th $66 to $537Professionalmedian $123 · 10th to 90th $71 to $224
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 $74.13 Median $107.15 Typical High $181.97 | Facility | None | $74.13 | $107.15 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $74.13 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $28.18 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $47.86 | $91.20 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $83.18 | $83.18 | $104.71 |
AvMed Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $323.59 | Facility | None | $131.83 | $173.78 | $323.59 |
AvMed Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $104.71 | $131.83 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $102.33 Typical High $537.03 | Facility | None | $50.12 | $102.33 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $97.72 Typical High $234.42 | Professional | None (both parts) | $58.88 | $97.72 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $26.92 Typical High $60.26 | Professional | 26 · Professional part | $18.62 | $26.92 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $38.90 | $74.13 | $177.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $83.18 | $128.82 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $42.66 | $147.91 | $218.78 |
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 $70.79 Median $104.71 Typical High $354.81 | Professional | None (both parts) | $70.79 | $104.71 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $89.13 | Professional | 26 · Professional part | $18.20 | $24.55 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $81.28 Typical High $269.15 | Professional | TC · Technical part | $46.77 | $81.28 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $120.23 | $120.23 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $25.12 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $95.50 | $95.50 | $131.83 |
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 $37.15 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $37.15 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $14.79 | $21.38 | $25.70 |
Where Florida sits
The same service costs 7.1 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· 47th of 51
$126
AK $417AL $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.