How much rates vary
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 $1,230.27 Median $7,244.36 Typical High $15,488.17 | Facility | None | $1,230.27 | $7,244.36 | $15,488.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,479.11 Typical High $15,135.61 | Professional | None (both parts) | $1,023.29 | $1,479.11 | $15,135.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $275.42 Typical High $389.05 | Professional | 26 · Professional part | $251.19 | $275.42 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
AvMed Setting Facility Modifier None Typical Low $257.04 Median $12,302.69 Typical High $26,302.68 | Facility | None | $257.04 | $12,302.69 | $26,302.68 |
AvMed Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $331.13 | Professional | None (both parts) | $251.19 | $316.23 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $12,022.64 Typical High $37,153.52 | Facility | None | $7,079.46 | $12,022.64 | $37,153.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,047.13 Typical High $2,041.74 | Professional | None (both parts) | $870.96 | $1,047.13 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $338.84 Typical High $630.96 | Professional | 26 · Professional part | $223.87 | $338.84 | $630.96 |
Florida Blue Setting Facility Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $4,168.69 | Facility | None | $3,467.37 | $4,168.69 | $4,168.69 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $331.13 | $436.52 | $489.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $223.87 Typical High $346.74 | Professional | 26 · Professional part | $218.78 | $223.87 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $346.74 Typical High $501.19 | Professional | None (both parts) | $14.45 | $346.74 | $501.19 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $3,311.31 Typical High $13,489.63 | Facility | None | $1,230.27 | $3,311.31 | $13,489.63 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $1,548.82 | Professional | None (both parts) | $275.42 | $446.68 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $407.38 Typical High $831.76 | Professional | 26 · Professional part | $275.42 | $407.38 | $831.76 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $10.72 Median $10.72 Typical High $21.38 | Professional | None (both parts) | $10.72 | $10.72 | $21.38 |
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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $776.25 Typical High $1,513.56 | Professional | TC · Technical part | $645.65 | $776.25 | $1,513.56 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $229.09 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,348.96 Typical High $2,089.30 | Professional | TC · Technical part | $954.99 | $1,348.96 | $2,089.30 |
Where Florida sits
The same service costs 14.5 times more in California than in Maine. 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· 42nd of 51
$1,175
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.