How much rates vary
Facilitymedian $87 · 10th to 90th $52 to $245Professionalmedian $107 · 10th to 90th $63 to $195
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 $87.10 Median $95.50 Typical High $173.78 | Facility | None | $87.10 | $95.50 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $87.10 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $81.28 | Professional | TC · Technical part | $32.36 | $37.15 | $81.28 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $147.91 | Facility | None | $58.88 | $79.43 | $147.91 |
AvMed Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $165.96 | Professional | None (both parts) | $47.86 | $64.57 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $245.47 | Facility | None | $69.18 | $102.33 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $363.08 | Professional | None (both parts) | $69.18 | $114.82 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $39.81 | $51.29 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $50.12 Typical High $257.04 | Professional | TC · Technical part | $28.84 | $50.12 | $257.04 |
Florida Blue Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $138.04 Median $199.53 Typical High $426.58 | Professional | None (both parts) | $138.04 | $199.53 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $57.54 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $57.54 | $104.71 | $169.82 |
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 $63.10 Median $112.20 Typical High $338.84 | Professional | None (both parts) | $63.10 | $112.20 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $186.21 | Professional | 26 · Professional part | $38.90 | $52.48 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $45.71 Typical High $154.88 | Professional | TC · Technical part | $24.55 | $45.71 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $107.15 | $107.15 | $138.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $60.26 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $46.77 | $46.77 | $58.88 |
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 $43.65 Median $46.77 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $46.77 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $26.92 | Professional | 53 · Discontinued | $17.78 | $19.05 | $26.92 |
Where Florida sits
The same service costs 7.6 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
$105
AK $457AL $60.26
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.