How much rates vary
Facilitymedian $5,495 · 10th to 90th $355 to $33,884Professionalmedian $170 · 10th to 90th $85 to $3,548
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 $1,023.29 Median $6,918.31 Typical High $15,135.61 | Facility | None | $1,023.29 | $6,918.31 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $162.18 | $169.82 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $97.72 | $102.33 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $61.66 | $66.07 | $91.20 |
AvMed Setting Facility Modifier None Typical Low $107.15 Median $25,118.86 Typical High $45,708.82 | Facility | None | $107.15 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $75.86 Median $125.89 Typical High $7,762.47 | Professional | None (both parts) | $75.86 | $125.89 | $7,762.47 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $26,302.68 | Facility | None | $398.11 | $501.19 | $26,302.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $141.25 | $208.93 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $245.47 | Professional | 26 · Professional part | $85.11 | $125.89 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $81.28 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $107.15 Median $20,417.38 Typical High $37,153.52 | Facility | None | $107.15 | $20,417.38 | $37,153.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $7,943.28 Typical High $7,943.28 | Professional | None (both parts) | $218.78 | $7,943.28 | $7,943.28 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $83.18 | $87.10 | $138.04 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $7,943.28 Typical High $7,943.28 | Professional | TC · Technical part | $79.43 | $7,943.28 | $7,943.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $79.43 | $109.65 | $169.82 |
United Setting Facility Modifier None Typical Low $398.11 Median $1,000.00 Typical High $12,882.50 | Facility | None | $398.11 | $1,000.00 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $218.78 Typical High $691.83 | Professional | None (both parts) | $54.95 | $218.78 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $147.91 Typical High $309.03 | Professional | 26 · Professional part | $97.72 | $147.91 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $3,162.28 | Professional | TC · Technical part | $53.70 | $91.20 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $141.25 | $141.25 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $91.20 | $91.20 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $52.48 | $52.48 | $61.66 |
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 $81.28 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $81.28 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $44.67 | Professional | 53 · Discontinued | $32.36 | $33.88 | $44.67 |
Where Florida sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 13th of 51
$447
OK $4,786HI $158
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.