How much rates vary
Facilitymedian $1,047 · 10th to 90th $155 to $1,698Professionalmedian $186 · 10th to 90th $117 to $407
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 $165.96 Median $1,584.89 Typical High $2,511.89 | Facility | None | $165.96 | $1,584.89 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $165.96 | $204.17 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $56.23 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $144.54 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $169.82 | $186.21 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $60.26 | $107.15 |
AvMed Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $380.19 | Facility | None | $154.88 | $204.17 | $380.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $131.83 | $154.88 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,000.00 Typical High $1,174.90 | Facility | None | $354.81 | $1,000.00 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $151.36 | $223.87 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $42.66 | $63.10 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $162.18 | $309.03 |
Florida Blue Setting Facility Modifier None Typical Low $151.36 Median $1,047.13 Typical High $6,606.93 | Facility | None | $151.36 | $1,047.13 | $6,606.93 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,023.29 Median $1,047.13 Typical High $7,413.10 | Facility | 26 · Professional part | $1,023.29 | $1,047.13 | $7,413.10 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,023.29 Median $1,047.13 Typical High $7,413.10 | Facility | TC · Technical part | $1,023.29 | $1,047.13 | $7,413.10 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $158.49 | $234.42 | $309.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $42.66 | $74.13 | $87.10 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $114.82 | $162.18 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $165.96 Typical High $416.87 | Professional | None (both parts) | $51.29 | $165.96 | $416.87 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $158.49 | $229.09 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $64.57 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $169.82 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
3 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 $83.18 Median $93.33 Typical High $131.83 | Professional | 52 · Reduced service | $83.18 | $93.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $37.15 Typical High $52.48 | Professional | 53 · Discontinued | $33.11 | $37.15 | $52.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 59 · Distinct service | $223.87 | $223.87 | $223.87 |
Where Florida sits
The same service costs 3.5 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· 49th of 51
$186
AK $562UT $158
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.