How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $707.95 Median $707.95 Typical High $758.58 | Facility | None | $707.95 | $707.95 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $758.58 Typical High $1,096.48 | Professional | None (both parts) | $707.95 | $758.58 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $95.50 | $104.71 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $645.65 Typical High $933.25 | Professional | TC · Technical part | $616.60 | $645.65 | $933.25 |
AvMed Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $891.25 | Facility | None | $660.69 | $870.96 | $891.25 |
AvMed Setting Professional Modifier None (both parts) Typical Low $660.69 Median $812.83 Typical High $891.25 | Professional | None (both parts) | $660.69 | $812.83 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,548.82 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,548.82 | $1,737.80 | $1,949.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $616.60 | $912.01 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $239.88 | Professional | 26 · Professional part | $83.18 | $123.03 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $794.33 Typical High $1,621.81 | Professional | TC · Technical part | $537.03 | $794.33 | $1,621.81 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $549.54 Median $851.14 Typical High $1,096.48 | Professional | None (both parts) | $549.54 | $851.14 | $1,096.48 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $109.65 | $141.25 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $741.31 Typical High $933.25 | Professional | TC · Technical part | $478.63 | $741.31 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $724.44 Typical High $1,995.26 | Professional | None (both parts) | $77.62 | $724.44 | $1,995.26 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,174.90 Typical High $1,174.90 | Facility | None | $1,071.52 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $1,862.09 | Professional | None (both parts) | $741.31 | $1,023.29 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $128.82 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $128.82 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,621.81 | Professional | TC · Technical part | $645.65 | $891.25 | $1,621.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $354.81 Median $371.54 Typical High $512.86 | Professional | 52 · Reduced service | $354.81 | $371.54 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $151.36 Typical High $204.17 | Professional | 53 · Discontinued | $141.25 | $151.36 | $204.17 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in Utah. 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
$813
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.