How much rates vary
Facilitymedian $135 · 10th to 90th $65 to $417Professionalmedian $129 · 10th to 90th $60 to $234
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 $97.72 Median $123.03 Typical High $173.78 | Facility | None | $97.72 | $123.03 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $97.72 | $125.89 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $37.15 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $60.26 | $91.20 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $109.65 | Professional | None (both parts) | $81.28 | $81.28 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $70.79 | Professional | 26 · Professional part | $19.95 | $19.95 | $70.79 |
AvMed Setting Facility Modifier None Typical Low $123.03 Median $162.18 Typical High $302.00 | Facility | None | $123.03 | $162.18 | $302.00 |
AvMed Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $177.83 | Professional | None (both parts) | $91.20 | $107.15 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $524.81 | Facility | None | $57.54 | $107.15 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $263.03 | Professional | None (both parts) | $81.28 | $104.71 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $30.20 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $194.98 | Professional | TC · Technical part | $57.54 | $72.44 | $194.98 |
Florida Blue Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $93.33 | $120.23 | $208.93 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $30.20 | $57.54 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $87.10 Typical High $158.49 | Professional | TC · Technical part | $39.81 | $87.10 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $38.02 | $158.49 | $229.09 |
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 $54.95 Median $104.71 Typical High $316.23 | Professional | None (both parts) | $54.95 | $104.71 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $91.20 | Professional | 26 · Professional part | $20.89 | $28.84 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $79.43 Typical High $245.47 | Professional | TC · Technical part | $51.29 | $79.43 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $131.83 | $131.83 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $31.62 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $100.00 | $123.03 |
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 $48.98 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $48.98 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $28.84 | Professional | 53 · Discontinued | $19.50 | $21.88 | $28.84 |
Where Florida sits
The same service costs 4.9 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
$129
AK $468AL $95.50
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.