How much rates vary
Facilitymedian $145 · 10th to 90th $105 to $257Professionalmedian $112 · 10th to 90th $72 to $234
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 $102.33 Median $104.71 Typical High $112.20 | Facility | None | $102.33 | $104.71 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $83.18 | $112.20 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $18.20 | $32.36 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $79.43 | $117.49 |
AvMed Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $263.03 | Facility | None | $107.15 | $144.54 | $263.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $45.71 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $45.71 | $107.15 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $69.18 | $125.89 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.20 Typical High $72.44 | Professional | 26 · Professional part | $18.62 | $30.20 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $93.33 | $186.21 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $63.10 | $100.00 | $128.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $15.49 | $41.69 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $123.03 | Professional | TC · Technical part | $75.86 | $97.72 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $251.19 | Professional | None (both parts) | $74.13 | $107.15 | $251.19 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $51.29 | $131.83 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $32.36 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $56.23 | $97.72 | $165.96 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $51.29 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $51.29 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $20.42 | $22.39 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Where Florida sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 46th of 51
$112
AK $363IN $69.18
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.