How much rates vary
Facilitymedian $7,413 · 10th to 90th $398 to $35,481Professionalmedian $295 · 10th to 90th $200 to $3,090
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 $7,244.36 Typical High $14,125.38 | Facility | None | $707.95 | $7,244.36 | $14,125.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $263.03 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $223.87 Typical High $275.42 | Professional | 26 · Professional part | $208.93 | $223.87 | $275.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $54.95 | $61.66 | $77.62 |
AvMed Setting Facility Modifier None Typical Low $223.87 Median $25,118.86 Typical High $45,708.82 | Facility | None | $223.87 | $25,118.86 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $83.18 Median $257.04 Typical High $7,762.47 | Professional | None (both parts) | $83.18 | $257.04 | $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 $239.88 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $239.88 | $354.81 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $512.86 | Professional | 26 · Professional part | $177.83 | $269.15 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $74.13 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $109.65 Median $20,417.38 Typical High $37,153.52 | Facility | None | $109.65 | $20,417.38 | $37,153.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $371.54 Median $7,943.28 Typical High $7,943.28 | Professional | None (both parts) | $371.54 | $7,943.28 | $7,943.28 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $181.97 Typical High $288.40 | Professional | 26 · Professional part | $173.78 | $181.97 | $288.40 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $81.28 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $199.53 | $275.42 | $371.54 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $4,073.80 Typical High $19,054.61 | Facility | None | $1,584.89 | $4,073.80 | $19,054.61 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $416.87 Typical High $1,380.38 | Professional | None (both parts) | $54.95 | $416.87 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $316.23 Typical High $676.08 | Professional | 26 · Professional part | $208.93 | $316.23 | $676.08 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $3,090.30 | Professional | TC · Technical part | $72.44 | $128.82 | $3,090.30 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $257.04 | $257.04 | $389.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | 26 · Professional part | $190.55 | $190.55 | $251.19 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $70.79 | $70.79 | $85.11 |
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 $131.83 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $56.23 | $70.79 |
Where Florida sits
The same service costs 9.5 times more in Louisiana than in New York. 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· 22nd of 51
$603
LA $3,090NY $324
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.