How much rates vary
Facilitymedian $631 · 10th to 90th $89 to $25,119Professionalmedian $229 · 10th to 90th $98 to $447
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 $239.88 Median $3,090.30 Typical High $12,022.64 | Facility | None | $239.88 | $3,090.30 | $12,022.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $218.78 | $234.42 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $91.20 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $151.36 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $91.20 | $91.20 | $147.91 |
AvMed Setting Facility Modifier None Typical Low $89.13 Median $2,137.96 Typical High $44,668.36 | Facility | None | $89.13 | $2,137.96 | $44,668.36 |
AvMed Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $83.18 | $120.23 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $16,595.87 Median $23,988.33 Typical High $57,543.99 | Facility | None | $16,595.87 | $23,988.33 | $57,543.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $186.21 | $281.84 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $194.98 | Professional | 26 · Professional part | $67.61 | $97.72 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $181.97 | $346.74 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $173.78 | $234.42 | $288.40 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $72.44 | $107.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $102.33 | $138.04 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $81.28 | $114.82 | $208.93 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $54.95 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $251.19 | Professional | 26 · Professional part | $77.62 | $117.49 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $138.04 | $218.78 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $204.17 | $204.17 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $69.18 | $69.18 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $131.83 | $131.83 | $131.83 |
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 $109.65 Median $117.49 Typical High $154.88 | Professional | 52 · Reduced service | $109.65 | $117.49 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $61.66 | Professional | 53 · Discontinued | $43.65 | $46.77 | $61.66 |
Where Florida sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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
$234
WI $891HI $138
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.