How much rates vary
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 $776.25 Median $6,918.31 Typical High $15,135.61 | Facility | None | $776.25 | $6,918.31 | $15,135.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $478.63 | $512.86 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $275.42 Typical High $380.19 | Professional | 26 · Professional part | $269.15 | $275.42 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $239.88 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $323.59 | $338.84 | $338.84 |
AvMed Setting Facility Modifier None Typical Low $363.08 Median $29,512.09 Typical High $45,708.82 | Facility | None | $363.08 | $29,512.09 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $891.25 | Professional | None (both parts) | $257.04 | $363.08 | $891.25 |
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 $407.38 Median $489.78 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $489.78 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $269.15 Typical High $575.44 | Professional | 26 · Professional part | $223.87 | $269.15 | $575.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $223.87 | $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 $363.08 Median $758.58 Typical High $1,202.26 | Professional | None (both parts) | $363.08 | $758.58 | $1,202.26 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $263.03 Typical High $407.38 | Professional | 26 · Professional part | $208.93 | $263.03 | $407.38 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $891.25 | Professional | TC · Technical part | $154.88 | $323.59 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $194.98 | $331.13 | $549.54 |
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 $812.83 | Professional | None (both parts) | $34.67 | $60.26 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $302.00 Typical High $575.44 | Professional | 26 · Professional part | $234.42 | $302.00 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $173.78 | $245.47 | $549.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $407.38 | $1,202.26 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | 26 · Professional part | $229.09 | $229.09 | $316.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $891.25 | Professional | TC · Technical part | $177.83 | $177.83 | $891.25 |
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 $239.88 Median $257.04 Typical High $331.13 | Professional | 52 · Reduced service | $239.88 | $257.04 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $102.33 Typical High $134.90 | Professional | 53 · Discontinued | $95.50 | $102.33 | $134.90 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$468
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.