How much rates vary
Facilitymedian $117 · 10th to 90th $20 to $813Professionalmedian $26 · 10th to 90th $17 to $72
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 $19.95 Median $42.66 Typical High $1,949.84 | Facility | None | $19.95 | $42.66 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $27.54 Typical High $48.98 | Professional | None (both parts) | $19.50 | $27.54 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $3.47 Typical High $5.62 | Professional | 26 · Professional part | $2.45 | $3.47 | $5.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $16.98 | $23.99 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.50 Typical High $29.51 | Professional | None (both parts) | $18.20 | $19.50 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $2.63 Median $3.16 Typical High $13.18 | Professional | 26 · Professional part | $2.63 | $3.16 | $13.18 |
AvMed Setting Facility Modifier None Typical Low $19.50 Median $25.70 Typical High $47.86 | Facility | None | $19.50 | $25.70 | $47.86 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.60 Median $21.38 Typical High $60.26 | Professional | None (both parts) | $16.60 | $21.38 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $24.55 Typical High $85.11 | Professional | None (both parts) | $15.85 | $24.55 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.09 Median $3.16 Typical High $6.76 | Professional | 26 · Professional part | $2.09 | $3.16 | $6.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $21.38 Typical High $75.86 | Professional | TC · Technical part | $13.49 | $21.38 | $75.86 |
Florida Blue Setting Facility Modifier None Typical Low $117.49 Median $302.00 Typical High $645.65 | Facility | None | $117.49 | $302.00 | $645.65 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $16.98 Median $33.11 Typical High $123.03 | Professional | None (both parts) | $16.98 | $33.11 | $123.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $3.89 Typical High $4.79 | Professional | 26 · Professional part | $2.29 | $3.89 | $4.79 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $28.84 Typical High $120.23 | Professional | TC · Technical part | $15.14 | $28.84 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $26.92 Typical High $75.86 | Professional | None (both parts) | $12.59 | $26.92 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $30.20 Typical High $87.10 | Professional | None (both parts) | $18.62 | $30.20 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $3.55 Typical High $6.61 | Professional | 26 · Professional part | $2.45 | $3.55 | $6.61 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $25.12 Typical High $81.28 | Professional | TC · Technical part | $15.85 | $25.12 | $81.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | 26 · Professional part | $2.51 | $2.51 | $2.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
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 $9.77 Median $10.72 Typical High $16.60 | Professional | 52 · Reduced service | $9.77 | $10.72 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $6.61 | Professional | 53 · Discontinued | $3.89 | $4.27 | $6.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $18.20 Median $23.44 Typical High $27.54 | Professional | 59 · Distinct service | $18.20 | $23.44 | $27.54 |
Where Florida sits
The same service costs 2.9 times more in Kansas than in Maryland. 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
$25.70
KS $74.13MD $25.70
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.