How much rates vary
Facilitymedian $112 · 10th to 90th $43 to $1,318Professionalmedian $62 · 10th to 90th $35 to $117
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 $46.77 Median $1,621.81 Typical High $2,511.89 | Facility | None | $46.77 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $44.67 | $52.48 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $34.67 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $16.98 Typical High $45.71 | Professional | TC · Technical part | $14.79 | $16.98 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $70.79 | $70.79 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $33.88 | $50.12 |
AvMed Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $97.72 | Facility | None | $39.81 | $53.70 | $97.72 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $22.39 | $35.48 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $125.89 | Facility | None | $60.26 | $70.79 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $54.95 | $61.66 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $30.20 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $30.90 | $58.88 |
Florida Blue Setting Facility Modifier None Typical Low $89.13 Median $181.97 Typical High $281.84 | Facility | None | $89.13 | $181.97 | $281.84 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $83.18 | Professional | None (both parts) | $53.70 | $57.54 | $83.18 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $25.70 | $30.20 | $46.77 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $28.18 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $66.07 Typical High $181.97 | Professional | None (both parts) | $31.62 | $66.07 | $181.97 |
United Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Facility | None | $43.65 | $46.77 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $46.77 | $61.66 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $16.60 | $24.55 | $51.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $61.66 | $61.66 | $77.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $28.84 | $28.84 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | TC · Technical part | $32.36 | $32.36 | $39.81 |
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 $22.91 Median $25.12 Typical High $36.31 | Professional | 52 · Reduced service | $22.91 | $25.12 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.00 Typical High $14.45 | Professional | 53 · Discontinued | $9.33 | $10.00 | $14.45 |
Where Florida sits
The same service costs 3.4 times more in Alaska than in New York. 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
$61.66
AK $182NY $53.70
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.