How much rates vary
Facilitymedian $21 · 10th to 90th $17 to $229Professionalmedian $54 · 10th to 90th $35 to $89
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $50.12 Typical High $53.70 | Facility | None | $50.12 | $50.12 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $48.98 | $53.70 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $34.67 | $38.02 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.14 Typical High $21.38 | Professional | TC · Technical part | $13.80 | $15.14 | $21.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
AvMed Setting Facility Modifier None Typical Low $15.85 Median $19.95 Typical High $20.89 | Facility | None | $15.85 | $19.95 | $20.89 |
AvMed Setting Professional Modifier None (both parts) Typical Low $14.79 Median $19.05 Typical High $21.38 | Professional | None (both parts) | $14.79 | $19.05 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $269.15 | Facility | None | $102.33 | $239.88 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $44.67 | $60.26 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $41.69 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $18.62 Typical High $35.48 | Professional | TC · Technical part | $13.80 | $18.62 | $35.48 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $42.66 | $51.29 | $66.07 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $34.67 | $47.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $14.79 Typical High $19.50 | Professional | TC · Technical part | $13.18 | $14.79 | $19.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $50.12 Typical High $87.10 | Professional | None (both parts) | $28.84 | $50.12 | $87.10 |
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 $46.77 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $46.77 | $63.10 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.62 Typical High $35.48 | Professional | TC · Technical part | $13.49 | $18.62 | $35.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 26 · Professional part | $33.88 | $33.88 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | TC · Technical part | $15.14 | $15.14 | $15.14 |
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 $24.55 Median $26.92 Typical High $34.67 | Professional | 52 · Reduced service | $24.55 | $26.92 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $13.80 | Professional | 53 · Discontinued | $9.77 | $10.72 | $13.80 |
Where Florida sits
The same service costs 3.9 times more in Alaska than in Texas. 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· 49th of 51
$53.70
AK $170TX $43.65
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.