How much rates vary
Facilitymedian $204 · 10th to 90th $145 to $891Professionalmedian $195 · 10th to 90th $91 to $417
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 $190.55 Median $1,621.81 Typical High $2,511.89 | Facility | None | $190.55 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $181.97 | $218.78 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $74.13 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $158.49 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $107.15 | $158.49 |
AvMed Setting Facility Modifier None Typical Low $138.04 Median $181.97 Typical High $338.84 | Facility | None | $138.04 | $181.97 | $338.84 |
AvMed Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $117.49 | $147.91 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $158.49 | $239.88 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $85.11 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $151.36 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $398.11 | Facility | None | $154.88 | $194.98 | $398.11 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $165.96 | $239.88 | $323.59 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $81.28 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $102.33 | $158.49 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $81.28 | $177.83 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $169.82 | $245.47 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $89.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $109.65 | $169.82 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
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 $91.20 Median $102.33 Typical High $134.90 | Professional | 52 · Reduced service | $91.20 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $40.74 Typical High $53.70 | Professional | 53 · Discontinued | $37.15 | $40.74 | $53.70 |
Where Florida sits
The same service costs 4.7 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
$195
AK $589UT $126
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.