How much rates vary
Facilitymedian $269 · 10th to 90th $89 to $1,122Professionalmedian $191 · 10th to 90th $79 to $363
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 $154.88 Median $1,621.81 Typical High $2,511.89 | Facility | None | $154.88 | $1,621.81 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $144.54 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $81.28 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $79.43 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $79.43 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 26 · Professional part | $151.36 | $151.36 | $154.88 |
AvMed Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $309.03 | Facility | None | $87.10 | $162.18 | $309.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $72.44 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $72.44 | $109.65 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $363.08 | Professional | None (both parts) | $120.23 | $181.97 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $91.20 Typical High $177.83 | Professional | 26 · Professional part | $61.66 | $91.20 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $93.33 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $138.04 Median $398.11 Typical High $851.14 | Facility | None | $138.04 | $398.11 | $851.14 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $194.98 | $263.03 | $331.13 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $102.33 | $125.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $158.49 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $363.08 | Professional | None (both parts) | $77.62 | $104.71 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $181.97 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $95.50 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $117.49 | $173.78 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $263.03 | $263.03 | $263.03 |
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 $72.44 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $31.62 | $41.69 |
Where Florida sits
The same service costs 3.1 times more in Alaska than in New York. 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
$191
AK $537NY $174
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.