How much rates vary
Facilitymedian $47 · 10th to 90th $28 to $1,660Professionalmedian $37 · 10th to 90th $25 to $65
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 $25.12 Median $1,621.81 Typical High $2,511.89 | Facility | None | $25.12 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.70 Typical High $54.95 | Professional | None (both parts) | $25.12 | $25.70 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $17.38 | $17.78 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $7.94 Typical High $32.36 | Professional | TC · Technical part | $7.76 | $7.94 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $47.86 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.95 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.95 |
AvMed Setting Facility Modifier None Typical Low $30.90 Median $40.74 Typical High $75.86 | Facility | None | $30.90 | $40.74 | $75.86 |
AvMed Setting Professional Modifier None (both parts) Typical Low $11.22 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $11.22 | $26.92 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $70.79 Typical High $85.11 | Facility | None | $60.26 | $70.79 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $75.86 | Professional | None (both parts) | $37.15 | $41.69 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $17.38 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $16.98 | $23.44 | $44.67 |
Florida Blue Setting Facility Modifier None Typical Low $27.54 Median $27.54 Typical High $31.62 | Facility | None | $27.54 | $27.54 | $31.62 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $26.30 | $35.48 | $54.95 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $23.44 | Professional | 26 · Professional part | $14.13 | $16.60 | $23.44 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $21.38 Typical High $33.11 | Professional | TC · Technical part | $8.51 | $21.38 | $33.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $19.95 | $33.88 | $69.18 |
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 $26.30 Median $35.48 Typical High $74.13 | Professional | None (both parts) | $26.30 | $35.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.95 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $19.95 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $16.98 Typical High $36.31 | Professional | TC · Technical part | $8.32 | $16.98 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $38.02 | $38.02 | $51.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $14.79 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $30.90 | Professional | TC · Technical part | $23.44 | $23.44 | $30.90 |
1 more rate 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 $47.86 Median $47.86 Typical High $47.86 | Professional | 59 · Distinct service | $47.86 | $47.86 | $47.86 |
Where Florida sits
The same service costs 3.9 times more in Alaska 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· 46th of 51
$37.15
AK $120UT $30.90
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.