How much rates vary
Facilitymedian $4,898 · 10th to 90th $339 to $34,674Professionalmedian $209 · 10th to 90th $138 to $3,162
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 $645.65 Median $5,495.41 Typical High $14,125.38 | Facility | None | $645.65 | $5,495.41 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $186.21 | $194.98 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $134.90 | $141.25 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $53.70 | $72.44 |
AvMed Setting Facility Modifier None Typical Low $147.91 Median $25,118.86 Typical High $45,708.82 | Facility | None | $147.91 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $63.10 Median $173.78 Typical High $7,762.47 | Professional | None (both parts) | $63.10 | $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 $239.88 Typical High $457.09 | Professional | None (both parts) | $158.49 | $239.88 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $173.78 Typical High $331.13 | Professional | 26 · Professional part | $114.82 | $173.78 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $66.07 | $123.03 |
Florida Blue Setting Facility Modifier None Typical Low $89.13 Median $20,417.38 Typical High $37,153.52 | Facility | None | $89.13 | $20,417.38 | $37,153.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $257.04 Median $7,943.28 Typical High $7,943.28 | Professional | None (both parts) | $257.04 | $7,943.28 | $7,943.28 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $114.82 | $120.23 | $190.55 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $66.07 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $138.04 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $138.04 | $194.98 | $281.84 |
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 $269.15 Typical High $870.96 | Professional | None (both parts) | $54.95 | $269.15 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $199.53 Typical High $426.58 | Professional | 26 · Professional part | $134.90 | $199.53 | $426.58 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $85.11 Typical High $3,162.28 | Professional | TC · Technical part | $51.29 | $85.11 | $3,162.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $251.19 | Professional | None (both parts) | $169.82 | $169.82 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $125.89 | $125.89 | $169.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | TC · Technical part | $43.65 | $43.65 | $60.26 |
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 $93.33 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $93.33 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $37.15 | $38.90 | $50.12 |
Where Florida sits
The same service costs 5.8 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· 14th of 51
$437
LA $1,288AL $224
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.