How much rates vary
Facilitymedian $339 · 10th to 90th $76 to $8,318Professionalmedian $112 · 10th to 90th $60 to $240
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 $131.83 Median $144.54 Typical High $812.83 | Facility | None | $131.83 | $144.54 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $120.23 | $138.04 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $67.61 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $63.10 | $74.13 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $17.78 | $72.44 | $112.20 |
AvMed Setting Facility Modifier None Typical Low $53.70 Median $7,585.78 Typical High $23,988.33 | Facility | None | $53.70 | $7,585.78 | $23,988.33 |
AvMed Setting Professional Modifier None (both parts) Typical Low $53.70 Median $77.62 Typical High $95.50 | Professional | None (both parts) | $53.70 | $77.62 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $6,025.60 Typical High $7,244.36 | Facility | None | $251.19 | $6,025.60 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $131.83 Typical High $275.42 | Professional | None (both parts) | $83.18 | $131.83 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $38.02 | $64.57 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $69.18 Typical High $144.54 | Professional | TC · Technical part | $39.81 | $69.18 | $144.54 |
Florida Blue Setting Facility Modifier None Typical Low $239.88 Median $371.54 Typical High $1,288.25 | Facility | None | $239.88 | $371.54 | $1,288.25 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $104.71 | $141.25 | $181.97 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $56.23 | $87.10 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $64.57 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $53.70 | $74.13 | $109.65 |
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 $177.83 Typical High $371.54 | Professional | None (both parts) | $54.95 | $177.83 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $48.98 | $77.62 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $120.23 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $95.50 | $95.50 | $147.91 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | 26 · Professional part | $45.71 | $45.71 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $50.12 | $67.61 |
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 $54.95 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $28.18 | $30.90 |
Where Florida sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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
$138
WI $417VA $110
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.