How much rates vary
Facilitymedian $110 · 10th to 90th $32 to $437Professionalmedian $100 · 10th to 90th $54 to $174
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 $58.88 Median $60.26 Typical High $173.78 | Facility | None | $58.88 | $60.26 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $66.07 Typical High $158.49 | Professional | None (both parts) | $58.88 | $66.07 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $26.30 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $120.23 | Professional | TC · Technical part | $34.67 | $39.81 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $33.11 | $70.79 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $57.54 | Professional | 26 · Professional part | $16.60 | $16.60 | $57.54 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $245.47 | Facility | None | $100.00 | $131.83 | $245.47 |
AvMed Setting Professional Modifier None (both parts) Typical Low $58.88 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $58.88 | $87.10 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $436.52 | Facility | None | $32.36 | $77.62 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $77.62 Typical High $165.96 | Professional | None (both parts) | $47.86 | $77.62 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $61.66 | Professional | 26 · Professional part | $17.38 | $24.55 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $30.90 | $56.23 | $109.65 |
Florida Blue Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $181.97 | Professional | None (both parts) | $70.79 | $100.00 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $42.66 | $109.65 | $173.78 |
United Setting Facility Modifier None Typical Low $199.53 Median $213.80 Typical High $213.80 | Facility | None | $199.53 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $257.04 | Professional | None (both parts) | $57.54 | $77.62 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.12 Typical High $85.11 | Professional | 26 · Professional part | $16.98 | $25.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $54.95 Typical High $181.97 | Professional | TC · Technical part | $33.11 | $54.95 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $131.83 | Professional | None (both parts) | $107.15 | $107.15 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $26.30 | $26.30 | $33.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $81.28 | $81.28 | $100.00 |
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 $29.51 Median $30.20 Typical High $57.54 | Professional | 52 · Reduced service | $29.51 | $30.20 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $22.91 | Professional | 53 · Discontinued | $11.75 | $12.30 | $22.91 |
Where Florida sits
The same service costs 5.2 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· 48th of 51
$100
AK $309AL $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.