How much rates vary
Facilitymedian $10,233 · 10th to 90th $100 to $38,019Professionalmedian $245 · 10th to 90th $52 to $1,778
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 $223.87 Median $6,456.54 Typical High $12,302.69 | Facility | None | $223.87 | $6,456.54 | $12,302.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $158.49 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $138.04 Typical High $239.88 | Professional | 26 · Professional part | $64.57 | $138.04 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $44.67 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $144.54 | Professional | 26 · Professional part | $51.29 | $56.23 | $144.54 |
AvMed Setting Facility Modifier None Typical Low $50.12 Median $25,118.86 Typical High $45,708.82 | Facility | None | $50.12 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $45.71 Median $257.04 Typical High $2,238.72 | Professional | None (both parts) | $45.71 | $257.04 | $2,238.72 |
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 $75.86 Median $144.54 Typical High $407.38 | Professional | None (both parts) | $75.86 | $144.54 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $109.65 Typical High $309.03 | Professional | 26 · Professional part | $57.54 | $109.65 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $35.48 Typical High $102.33 | Professional | TC · Technical part | $18.62 | $35.48 | $102.33 |
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 $281.84 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $281.84 | $2,290.87 | $2,290.87 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $181.97 | Professional | 26 · Professional part | $38.90 | $40.74 | $181.97 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $2,238.72 Typical High $2,238.72 | Professional | TC · Technical part | $234.42 | $2,238.72 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $45.71 Typical High $616.60 | Professional | None (both parts) | $27.54 | $45.71 | $616.60 |
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 $457.09 Typical High $1,905.46 | Professional | None (both parts) | $54.95 | $457.09 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $181.97 Typical High $407.38 | Professional | 26 · Professional part | $109.65 | $181.97 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $309.03 Typical High $1,778.28 | Professional | TC · Technical part | $173.78 | $309.03 | $1,778.28 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $398.11 | $398.11 | $398.11 |
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 $77.62 Median $87.10 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $34.67 | $41.69 |
Where Florida sits
The same service costs 4.8 times more in Nebraska than in South Carolina. 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· 10th of 51
$447
NE $724SC $151
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.