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 $38.02 Median $48.98 Typical High $173.78 | Facility | None | $38.02 | $48.98 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $38.02 | $48.98 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $20.42 | Professional | 26 · Professional part | $13.80 | $17.38 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $31.62 | $37.15 |
AvMed Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $93.33 | Facility | None | $38.02 | $51.29 | $93.33 |
AvMed Setting Professional Modifier None (both parts) Typical Low $30.20 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $30.20 | $40.74 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $43.65 Typical High $162.18 | Facility | None | $25.70 | $43.65 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $45.71 Typical High $107.15 | Professional | None (both parts) | $30.20 | $45.71 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $40.74 | Professional | 26 · Professional part | $10.96 | $15.85 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $28.84 Typical High $69.18 | Professional | TC · Technical part | $19.50 | $28.84 | $69.18 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $36.31 Median $64.57 Typical High $93.33 | Professional | None (both parts) | $36.31 | $64.57 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $26.92 | $46.77 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $44.67 Typical High $151.36 | Professional | None (both parts) | $33.88 | $44.67 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $12.59 | $16.60 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $97.72 | Professional | TC · Technical part | $21.38 | $28.18 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $24.55 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $24.55 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $14.45 | $23.44 |
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 $19.05 Median $24.55 Typical High $28.84 | Professional | 52 · Reduced service | $19.05 | $24.55 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.77 Typical High $11.75 | Professional | 53 · Discontinued | $7.59 | $9.77 | $11.75 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 49th of 51
$45.71
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.