How much rates vary
Facilitymedian $102 · 10th to 90th $42 to $389Professionalmedian $85 · 10th to 90th $45 to $170
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 $46.77 Median $66.07 Typical High $173.78 | Facility | None | $46.77 | $66.07 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $93.33 | Professional | None (both parts) | $46.77 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $16.22 | $20.42 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $45.71 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $229.09 | Facility | None | $93.33 | $123.03 | $229.09 |
AvMed Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $74.13 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $63.10 Typical High $389.05 | Facility | None | $31.62 | $63.10 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $67.61 Typical High $154.88 | Professional | None (both parts) | $37.15 | $67.61 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $48.98 | Professional | 26 · Professional part | $13.18 | $19.50 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $47.86 Typical High $109.65 | Professional | TC · Technical part | $24.55 | $47.86 | $109.65 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $52.48 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $52.48 | $81.28 | $169.82 |
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 Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $234.42 | Professional | None (both parts) | $44.67 | $69.18 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $67.61 | Professional | 26 · Professional part | $15.49 | $20.42 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $165.96 | Professional | TC · Technical part | $29.51 | $50.12 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $69.18 | $69.18 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $17.38 | $17.38 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $52.48 | $93.33 |
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 $23.44 Median $33.11 Typical High $44.67 | Professional | 52 · Reduced service | $23.44 | $33.11 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $13.18 Typical High $18.20 | Professional | 53 · Discontinued | $9.33 | $13.18 | $18.20 |
Where Florida sits
The same service costs 4.6 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· 47th of 51
$89.13
AK $269AL $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.