How much rates vary
Facilitymedian $245 · 10th to 90th $40 to $263Professionalmedian $81 · 10th to 90th $40 to $129
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 $67.61 Median $81.28 Typical High $87.10 | Facility | None | $67.61 | $81.28 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $67.61 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $15.85 | Professional | 26 · Professional part | $11.75 | $12.30 | $15.85 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $33.88 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.22 Typical High $23.44 | Professional | 53 · Discontinued | $13.49 | $16.22 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $69.18 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $120.23 | $123.03 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $281.84 | Facility | None | $114.82 | $151.36 | $281.84 |
AvMed Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $72.44 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $331.13 | Facility | None | $208.93 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $85.11 | $91.20 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $10.23 | $10.72 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $79.43 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $33.88 Median $245.47 Typical High $251.19 | Facility | None | $33.88 | $245.47 | $251.19 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $6,165.95 | Facility | 26 · Professional part | $245.47 | $245.47 | $6,165.95 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $6,165.95 | Facility | TC · Technical part | $245.47 | $245.47 | $6,165.95 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $54.95 Median $95.50 Typical High $128.82 | Professional | None (both parts) | $54.95 | $95.50 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $112.20 | $144.54 | $190.55 |
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 $34.67 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $34.67 | $60.26 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $11.48 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $67.61 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $120.23 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $93.33 | $114.82 | $114.82 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $120.23 Typical High $131.83 | Professional | 59 · Distinct service | $120.23 | $120.23 | $131.83 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 76 · Repeat, same provider | $120.23 | $120.23 | $120.23 |
Where Florida sits
The same service costs 3.0 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
$81.28
AK $245FL $81.28
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.