How much rates vary
Facilitymedian $195 · 10th to 90th $72 to $1,096Professionalmedian $155 · 10th to 90th $69 to $331
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 $1,445.44 Typical High $1,949.84 | Facility | None | $165.96 | $1,445.44 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $323.59 | Professional | None (both parts) | $158.49 | $190.55 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $64.57 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $134.90 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $229.09 | $407.38 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $69.18 | $102.33 |
AvMed Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $275.42 | Facility | None | $112.20 | $151.36 | $275.42 |
AvMed Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $141.25 | Professional | None (both parts) | $95.50 | $120.23 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $1,000.00 Typical High $1,174.90 | Facility | None | $295.12 | $1,000.00 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $125.89 | $186.21 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $47.86 | $70.79 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $245.47 | Professional | TC · Technical part | $79.43 | $114.82 | $245.47 |
Florida Blue Setting Facility Modifier None Typical Low $72.44 Median $190.55 Typical High $389.05 | Facility | None | $72.44 | $190.55 | $389.05 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $117.49 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $117.49 | $213.80 | $309.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $66.07 | $97.72 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $141.25 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $131.83 Typical High $323.59 | Professional | None (both parts) | $53.70 | $131.83 | $323.59 |
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 $134.90 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $134.90 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $74.13 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $251.19 | Professional | TC · Technical part | $85.11 | $123.03 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
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 $79.43 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $79.43 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $38.02 Typical High $46.77 | Professional | 53 · Discontinued | $31.62 | $38.02 | $46.77 |
Where Florida sits
The same service costs 3.9 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· 48th of 51
$158
AK $468UT $120
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.