How much rates vary
Facilitymedian $339 · 10th to 90th $129 to $1,288Professionalmedian $282 · 10th to 90th $123 to $525
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 $134.90 Median $251.19 Typical High $489.78 | Facility | None | $134.90 | $251.19 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $134.90 | $257.04 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $46.77 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $93.33 | $208.93 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $30.20 | $30.20 | $38.02 |
AvMed Setting Facility Modifier None Typical Low $309.03 Median $407.38 Typical High $758.58 | Facility | None | $309.03 | $407.38 | $758.58 |
AvMed Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $407.38 | Professional | None (both parts) | $245.47 | $331.13 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $1,288.25 | Facility | None | $97.72 | $234.42 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $107.15 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $102.33 | Professional | 26 · Professional part | $30.90 | $44.67 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $74.13 | $169.82 | $467.74 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $154.88 | $239.88 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $42.66 | $354.81 | $512.86 |
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 $128.82 Median $245.47 Typical High $831.76 | Professional | None (both parts) | $128.82 | $245.47 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $151.36 | Professional | 26 · Professional part | $30.90 | $41.69 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $204.17 Typical High $602.56 | Professional | TC · Technical part | $89.13 | $204.17 | $602.56 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $245.47 | $245.47 | $371.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $60.26 | Professional | 26 · Professional part | $38.90 | $38.90 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $204.17 | $309.03 |
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 $67.61 Median $125.89 Typical High $151.36 | Professional | 52 · Reduced service | $67.61 | $125.89 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $50.12 Typical High $60.26 | Professional | 53 · Discontinued | $26.92 | $50.12 | $60.26 |
Where Florida sits
The same service costs 9.1 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· 43rd of 51
$288
AK $891AL $97.72
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.