How much rates vary
Facilitymedian $115 · 10th to 90th $46 to $813Professionalmedian $89 · 10th to 90th $43 to $155
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 $89.13 Median $1,621.81 Typical High $2,511.89 | Facility | None | $89.13 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $85.11 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $44.67 | $48.98 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $40.74 | $43.65 | $60.26 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $77.62 Typical High $147.91 | Facility | None | $58.88 | $77.62 | $147.91 |
AvMed Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $64.57 | Professional | None (both parts) | $50.12 | $58.88 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $724.44 Typical High $851.14 | Facility | None | $186.21 | $724.44 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $190.55 | Professional | None (both parts) | $75.86 | $91.20 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $44.67 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $45.71 | $91.20 |
Florida Blue Setting Facility Modifier None Typical Low $45.71 Median $117.49 Typical High $245.47 | Facility | None | $45.71 | $117.49 | $245.47 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $79.43 | $97.72 | $125.89 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $43.65 | $77.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $45.71 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $45.71 | $85.11 | $186.21 |
United Setting Facility Modifier None Typical Low $524.81 Median $562.34 Typical High $562.34 | Facility | None | $524.81 | $562.34 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $60.26 Typical High $141.25 | Professional | None (both parts) | $34.67 | $60.26 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $53.70 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $35.48 | $48.98 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $89.13 | $89.13 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $41.69 | $41.69 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $58.88 | Professional | TC · Technical part | $47.86 | $47.86 | $58.88 |
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 $42.66 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $42.66 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.05 Typical High $25.12 | Professional | 53 · Discontinued | $16.98 | $19.05 | $25.12 |
Where Florida sits
The same service costs 3.8 times more in Minnesota 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· 49th of 51
$89.13
MN $269UT $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.