How much rates vary
Facilitymedian $72 · 10th to 90th $27 to $1,318Professionalmedian $41 · 10th to 90th $27 to $71
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 $42.66 Median $1,621.81 Typical High $2,511.89 | Facility | None | $42.66 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $40.74 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $12.30 | $13.18 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $40.74 | Professional | TC · Technical part | $28.84 | $30.90 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
AvMed Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $63.10 | Facility | None | $25.70 | $33.88 | $63.10 |
AvMed Setting Professional Modifier None (both parts) Typical Low $21.38 Median $28.18 Typical High $43.65 | Professional | None (both parts) | $21.38 | $28.18 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $79.43 | Facility | None | $60.26 | $67.61 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.02 Typical High $85.11 | Professional | None (both parts) | $30.90 | $38.02 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $11.48 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $25.70 | $58.88 |
Florida Blue Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $165.96 | Facility | None | $53.70 | $107.15 | $165.96 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $26.92 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $26.92 | $37.15 | $66.07 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $10.96 | $18.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $47.86 | Professional | TC · Technical part | $17.78 | $21.38 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $13.80 | $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 $34.67 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $34.67 | $50.12 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $14.79 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $35.48 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $38.90 | Professional | None (both parts) | $30.90 | $30.90 | $38.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $25.70 | Professional | TC · Technical part | $20.42 | $20.42 | $25.70 |
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 $36.31 Median $36.31 Typical High $36.31 | Professional | 59 · Distinct service | $36.31 | $36.31 | $36.31 |
Where Florida sits
The same service costs 3.3 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
$40.74
MN $102UT $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.