How much rates vary
Facilitymedian $363 · 10th to 90th $83 to $10,233Professionalmedian $204 · 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 $218.78 Median $234.42 Typical High $588.84 | Facility | None | $218.78 | $234.42 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $354.81 | Professional | None (both parts) | $218.78 | $234.42 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $87.10 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $151.36 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $269.15 | $407.38 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $22.91 | $91.20 | $147.91 |
AvMed Setting Facility Modifier None Typical Low $89.13 Median $7,585.78 Typical High $23,442.29 | Facility | None | $89.13 | $7,585.78 | $23,442.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $83.18 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $6,025.60 Typical High $7,244.36 | Facility | None | $426.58 | $6,025.60 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $151.36 | $234.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $52.48 | $83.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $295.12 | Professional | TC · Technical part | $89.13 | $151.36 | $295.12 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $173.78 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $173.78 | $234.42 | $288.40 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $72.44 | $104.71 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $102.33 | $138.04 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $81.28 | $112.20 | $181.97 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $2,818.38 | Facility | None | $81.28 | $302.00 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $295.12 Typical High $645.65 | Professional | None (both parts) | $54.95 | $295.12 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $66.07 | $102.33 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $223.87 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $165.96 | $165.96 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $57.54 | $75.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $107.15 | $107.15 | $144.54 |
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 $102.33 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $46.77 | $53.70 |
Where Florida sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 47th of 51
$219
WI $776OR $182
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.