How much rates vary
Facilitymedian $417 · 10th to 90th $37 to $6,166Professionalmedian $81 · 10th to 90th $68 to $115
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 $77.62 Median $81.28 Typical High $87.10 | Facility | None | $77.62 | $81.28 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $77.62 | $81.28 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $61.66 | $64.57 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $17.78 Typical High $30.20 | Professional | TC · Technical part | $13.49 | $17.78 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $93.33 | $93.33 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $37.15 Typical High $69.18 | Facility | None | $28.18 | $37.15 | $69.18 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.39 Median $29.51 Typical High $102.33 | Professional | None (both parts) | $22.39 | $29.51 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $331.13 | Facility | None | $169.82 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $74.13 | $77.62 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $53.70 | $54.95 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.91 Typical High $28.84 | Professional | TC · Technical part | $21.38 | $22.91 | $28.84 |
Florida Blue Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $6,918.31 | Facility | None | $407.38 | $416.87 | $6,918.31 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $6,918.31 | Facility | 26 · Professional part | $407.38 | $416.87 | $6,918.31 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $6,918.31 | Facility | TC · Technical part | $407.38 | $416.87 | $6,918.31 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $72.44 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $72.44 | $123.03 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $31.62 | $72.44 | $125.89 |
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 $67.61 Median $77.62 Typical High $125.89 | Professional | None (both parts) | $67.61 | $77.62 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.62 Typical High $30.90 | Professional | TC · Technical part | $13.49 | $18.62 | $30.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $28.18 | $28.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $93.33 Median $93.33 Typical High $100.00 | Professional | 59 · Distinct service | $93.33 | $93.33 | $100.00 |
Where Florida sits
The same service costs 3.3 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· 50th of 51
$81.28
AK $234UT $70.79
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.