How much rates vary
Facilitymedian $10,965 · 10th to 90th $107 to $38,019Professionalmedian $275 · 10th to 90th $162 to $5,888
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 $707.95 Median $6,760.83 Typical High $15,135.61 | Facility | None | $707.95 | $6,760.83 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $371.54 | Professional | None (both parts) | $186.21 | $199.53 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $239.88 | Professional | 26 · Professional part | $141.25 | $158.49 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $47.86 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $234.42 | Professional | 26 · Professional part | $181.97 | $181.97 | $234.42 |
AvMed Setting Facility Modifier None Typical Low $158.49 Median $25,118.86 Typical High $45,708.82 | Facility | None | $158.49 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $144.54 Median $331.13 Typical High $7,413.10 | Professional | None (both parts) | $144.54 | $331.13 | $7,413.10 |
Cigna Setting Facility Modifier None Typical Low $17,378.01 Median $23,988.33 Typical High $47,863.01 | Facility | None | $17,378.01 | $23,988.33 | $47,863.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $165.96 | $245.47 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $181.97 Typical High $354.81 | Professional | 26 · Professional part | $123.03 | $181.97 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $61.66 | $112.20 |
Florida Blue Setting Facility Modifier None Typical Low $14,125.38 Median $23,988.33 Typical High $41,686.94 | Facility | None | $14,125.38 | $23,988.33 | $41,686.94 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $1,819.70 | $7,585.78 | $7,585.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $128.82 Typical High $831.76 | Professional | 26 · Professional part | $120.23 | $128.82 | $831.76 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $7,413.10 Typical High $7,413.10 | Professional | TC · Technical part | $288.40 | $7,413.10 | $7,413.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $144.54 Median $208.93 Typical High $691.83 | Professional | None (both parts) | $144.54 | $208.93 | $691.83 |
United Setting Facility Modifier None Typical Low $81.28 Median $302.00 Typical High $12,882.50 | Facility | None | $81.28 | $302.00 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $660.69 Typical High $5,248.07 | Professional | None (both parts) | $54.95 | $660.69 | $5,248.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $229.09 Typical High $446.68 | Professional | 26 · Professional part | $141.25 | $229.09 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $512.86 Typical High $5,888.44 | Professional | TC · Technical part | $83.18 | $512.86 | $5,888.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | 26 · Professional part | $131.83 | $131.83 | $181.97 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
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 $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $93.33 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $39.81 Typical High $50.12 | Professional | 53 · Discontinued | $37.15 | $39.81 | $50.12 |
Where Florida sits
The same service costs 4.6 times more in Wisconsin than in Maryland. 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· 6th of 51
$537
WI $1,047MD $229
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.