How much rates vary
Facilitymedian $1,047 · 10th to 90th $105 to $1,778Professionalmedian $135 · 10th to 90th $91 to $309
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 $123.03 Median $1,621.81 Typical High $2,511.89 | Facility | None | $123.03 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $104.71 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $32.36 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $95.50 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $120.23 | $120.23 | $263.03 |
AvMed Setting Facility Modifier None Typical Low $114.82 Median $151.36 Typical High $281.84 | Facility | None | $114.82 | $151.36 | $281.84 |
AvMed Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $93.33 | $112.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $1,000.00 Typical High $1,174.90 | Facility | None | $245.47 | $1,000.00 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $104.71 | $147.91 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $36.31 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $109.65 | $218.78 |
Florida Blue Setting Facility Modifier None Typical Low $77.62 Median $1,047.13 Typical High $6,606.93 | Facility | None | $77.62 | $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 $104.71 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $104.71 | $141.25 | $199.53 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $44.67 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $44.67 | $50.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $107.15 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $131.83 Typical High $338.84 | Professional | None (both parts) | $36.31 | $131.83 | $338.84 |
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 $107.15 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $107.15 | $154.88 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $37.15 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $223.87 | Professional | TC · Technical part | $81.28 | $117.49 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
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 $52.48 Median $61.66 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $35.48 | Professional | 53 · Discontinued | $20.89 | $24.55 | $35.48 |
Where Florida sits
The same service costs 3.0 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· 50th of 51
$135
AK $380UT $129
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.