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 $660.69 Median $6,025.60 Typical High $14,125.38 | Facility | None | $660.69 | $6,025.60 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $177.83 | $190.55 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $181.97 | Professional | 26 · Professional part | $134.90 | $144.54 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $63.10 | Professional | TC · Technical part | $42.66 | $45.71 | $63.10 |
AvMed Setting Facility Modifier None Typical Low $151.36 Median $25,118.86 Typical High $45,708.82 | Facility | None | $151.36 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $52.48 Median $173.78 Typical High $7,762.47 | Professional | None (both parts) | $52.48 | $173.78 | $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 $158.49 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $158.49 | $234.42 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $338.84 | Professional | 26 · Professional part | $117.49 | $173.78 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $36.31 | $57.54 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $75.86 Median $20,417.38 Typical High $37,153.52 | Facility | None | $75.86 | $20,417.38 | $37,153.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $245.47 Median $7,943.28 Typical High $7,943.28 | Professional | None (both parts) | $245.47 | $7,943.28 | $7,943.28 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $186.21 | Professional | 26 · Professional part | $114.82 | $120.23 | $186.21 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $56.23 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $138.04 | $194.98 | $275.42 |
United Setting Facility Modifier None Typical Low $398.11 Median $977.24 Typical High $12,882.50 | Facility | None | $398.11 | $977.24 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $54.95 | $257.04 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $204.17 Typical High $426.58 | Professional | 26 · Professional part | $134.90 | $204.17 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $3,162.28 | Professional | TC · Technical part | $42.66 | $70.79 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $239.88 | Professional | None (both parts) | $162.18 | $162.18 | $239.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | 26 · Professional part | $125.89 | $125.89 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $34.67 | $34.67 | $50.12 |
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 $89.13 Median $95.50 Typical High $123.03 | Professional | 52 · Reduced service | $89.13 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $48.98 | Professional | 53 · Discontinued | $35.48 | $38.02 | $48.98 |
Where Florida sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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· 16th of 51
$427
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.