How much rates vary
Facilitymedian $35 · 10th to 90th $22 to $468Professionalmedian $31 · 10th to 90th $23 to $62
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 $30.20 Median $30.90 Typical High $33.88 | Facility | None | $30.20 | $30.90 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $29.51 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.30 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $12.30 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $17.78 | $19.50 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $28.18 | $33.11 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.05 |
AvMed Setting Facility Modifier None Typical Low $21.88 Median $28.84 Typical High $53.70 | Facility | None | $21.88 | $28.84 | $53.70 |
AvMed Setting Professional Modifier None (both parts) Typical Low $17.38 Median $21.38 Typical High $24.55 | Professional | None (both parts) | $17.38 | $21.38 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $512.86 | Facility | None | $346.74 | $467.74 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $31.62 Typical High $66.07 | Professional | None (both parts) | $20.89 | $31.62 | $66.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $11.22 Typical High $25.70 | Professional | 26 · Professional part | $7.41 | $11.22 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $20.42 Typical High $42.66 | Professional | TC · Technical part | $13.49 | $20.42 | $42.66 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $20.89 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $20.89 | $32.36 | $40.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.88 Typical High $15.49 | Professional | 26 · Professional part | $7.76 | $12.88 | $15.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $19.50 Typical High $25.12 | Professional | TC · Technical part | $12.59 | $19.50 | $25.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.92 Typical High $67.61 | Professional | None (both parts) | $23.99 | $26.92 | $67.61 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $66.07 | Professional | None (both parts) | $26.92 | $38.02 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $14.45 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $16.60 | $23.44 | $41.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
3 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 $14.45 Median $15.14 Typical High $19.95 | Professional | 52 · Reduced service | $14.45 | $15.14 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.17 Typical High $8.13 | Professional | 53 · Discontinued | $5.89 | $6.17 | $8.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $31.62 Median $32.36 Typical High $32.36 | Professional | 59 · Distinct service | $31.62 | $32.36 | $32.36 |
Where Florida sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 51st of 51
$30.90
AK $83.18FL $30.90
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.