How much rates vary
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 $173.78 Median $245.47 Typical High $489.78 | Facility | None | $173.78 | $245.47 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $213.80 | $257.04 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $52.48 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $194.98 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
AvMed Setting Facility Modifier None Typical Low $389.05 Median $512.86 Typical High $954.99 | Facility | None | $389.05 | $512.86 | $954.99 |
AvMed Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $331.13 | $426.58 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $467.74 Typical High $1,659.59 | Facility | None | $316.23 | $467.74 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $194.98 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $37.15 | $47.86 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $158.49 | $275.42 | $549.54 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $1,513.56 Typical High $1,548.82 | Facility | None | $154.88 | $1,513.56 | $1,548.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $239.88 Median $512.86 Typical High $1,096.48 | Professional | None (both parts) | $239.88 | $512.86 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $60.26 | $371.54 | $602.56 |
United Setting Facility Modifier None Typical Low $933.25 Median $1,000.00 Typical High $1,000.00 | Facility | None | $933.25 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $1,000.00 | Professional | None (both parts) | $177.83 | $295.12 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $158.49 | Professional | 26 · Professional part | $36.31 | $47.86 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $794.33 | Professional | TC · Technical part | $144.54 | $245.47 | $794.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $371.54 | $371.54 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $56.23 | $56.23 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | TC · Technical part | $316.23 | $316.23 | $389.05 |
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 $107.15 Median $123.03 Typical High $190.55 | Professional | 52 · Reduced service | $107.15 | $123.03 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $75.86 | Professional | 53 · Discontinued | $43.65 | $48.98 | $75.86 |
Where Florida sits
The same service costs 11.5 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· 46th of 51
$372
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.