How much rates vary
Facilitymedian $5,754 · 10th to 90th $204 to $42,658Professionalmedian $347 · 10th to 90th $55 to $741
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 $1,000.00 Median $6,918.31 Typical High $15,135.61 | Facility | None | $1,000.00 | $6,918.31 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $363.08 | $398.11 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $147.91 | $162.18 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $234.42 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $169.82 | $169.82 | $177.83 |
AvMed Setting Facility Modifier None Typical Low $204.17 Median $29,512.09 Typical High $45,708.82 | Facility | None | $204.17 | $29,512.09 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $151.36 Median $295.12 Typical High $1,023.29 | Professional | None (both parts) | $151.36 | $295.12 | $1,023.29 |
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 $302.00 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $302.00 | $371.54 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $331.13 | Professional | 26 · Professional part | $125.89 | $151.36 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $478.63 | Professional | TC · Technical part | $177.83 | $213.80 | $478.63 |
Florida Blue Setting Facility Modifier None Typical Low $616.60 Median $1,071.52 Typical High $1,621.81 | Facility | None | $616.60 | $1,071.52 | $1,621.81 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $275.42 Median $575.44 Typical High $1,202.26 | Professional | None (both parts) | $275.42 | $575.44 | $1,202.26 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $239.88 | Professional | 26 · Professional part | $123.03 | $151.36 | $239.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $1,023.29 | Professional | TC · Technical part | $154.88 | $323.59 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $147.91 | $223.87 | $426.58 |
United Setting Facility Modifier None Typical Low $128.82 Median $2,187.76 Typical High $10,471.29 | Facility | None | $128.82 | $2,187.76 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $60.26 Typical High $660.69 | Professional | None (both parts) | $34.67 | $60.26 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $338.84 | Professional | 26 · Professional part | $131.83 | $177.83 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $575.44 | Professional | TC · Technical part | $181.97 | $251.19 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $1,202.26 | Professional | None (both parts) | $316.23 | $316.23 | $1,202.26 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $134.90 | $134.90 | $181.97 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $1,023.29 | Professional | TC · Technical part | $181.97 | $181.97 | $1,023.29 |
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 $177.83 Median $199.53 Typical High $251.19 | Professional | 52 · Reduced service | $177.83 | $199.53 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $102.33 | Professional | 53 · Discontinued | $72.44 | $79.43 | $102.33 |
Where Florida sits
The same service costs 3.0 times more in Wisconsin than in North 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· 50th of 51
$347
WI $1,000NC $331
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.