How much rates vary
Facilitymedian $417 · 10th to 90th $115 to $14,454Professionalmedian $117 · 10th to 90th $58 to $245
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 $64.57 Median $79.43 Typical High $83.18 | Facility | None | $64.57 | $79.43 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $95.50 Typical High $181.97 | Professional | None (both parts) | $64.57 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $33.11 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $56.23 Typical High $131.83 | Professional | TC · Technical part | $30.90 | $56.23 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $104.71 | $151.36 | $275.42 |
AvMed Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $281.84 | Facility | None | $114.82 | $154.88 | $281.84 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $79.43 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $93.33 | $125.89 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $63.10 | $81.28 | $158.49 |
Florida Blue Setting Facility Modifier None Typical Low $147.91 Median $416.87 Typical High $15,488.17 | Facility | None | $147.91 | $416.87 | $15,488.17 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $416.87 Median $8,317.64 Typical High $16,595.87 | Facility | 26 · Professional part | $416.87 | $8,317.64 | $16,595.87 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $8,317.64 Typical High $16,595.87 | Facility | TC · Technical part | $416.87 | $8,317.64 | $16,595.87 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $69.18 | $117.49 | $147.91 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $42.66 | $53.70 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $109.65 | Professional | TC · Technical part | $44.67 | $67.61 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $125.89 Typical High $295.12 | Professional | None (both parts) | $52.48 | $125.89 | $295.12 |
United Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $269.15 | Facility | None | $251.19 | $269.15 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $72.44 | $107.15 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $30.90 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $43.65 | $69.18 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
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 $31.62 Median $41.69 Typical High $69.18 | Professional | 52 · Reduced service | $31.62 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $16.98 Typical High $27.54 | Professional | 53 · Discontinued | $12.88 | $16.98 | $27.54 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in New York. 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
$117
AK $347NY $107
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.