How much rates vary
Facilitymedian $6,457 · 10th to 90th $110 to $44,668Professionalmedian $174 · 10th to 90th $63 to $324
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 $173.78 Median $5,370.32 Typical High $16,982.44 | Facility | None | $173.78 | $5,370.32 | $16,982.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $158.49 | $173.78 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $117.49 | $128.82 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $45.71 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $52.48 Median $29,512.09 Typical High $45,708.82 | Facility | None | $52.48 | $29,512.09 | $45,708.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $53.70 | Professional | None (both parts) | $38.90 | $47.86 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $12,882.50 Median $22,908.68 Typical High $47,863.01 | Facility | None | $12,882.50 | $22,908.68 | $47,863.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $131.83 | $162.18 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $275.42 | Professional | 26 · Professional part | $97.72 | $120.23 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $131.83 | Professional | TC · Technical part | $33.88 | $40.74 | $131.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $131.83 | $177.83 | $331.13 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $218.78 | Professional | 26 · Professional part | $97.72 | $117.49 | $218.78 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $52.48 Typical High $112.20 | Professional | TC · Technical part | $33.88 | $52.48 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $53.70 | $141.25 | $295.12 |
United Setting Facility Modifier None Typical Low $169.82 Median $2,511.89 Typical High $9,772.37 | Facility | None | $169.82 | $2,511.89 | $9,772.37 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $141.25 | $251.19 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $169.82 Typical High $316.23 | Professional | 26 · Professional part | $104.71 | $169.82 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $36.31 | $75.86 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $186.21 | $190.55 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $50.12 | $50.12 |
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 $79.43 Median $87.10 Typical High $128.82 | Professional | 52 · Reduced service | $79.43 | $87.10 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $34.67 Typical High $51.29 | Professional | 53 · Discontinued | $31.62 | $34.67 | $51.29 |
Where Florida sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 49th of 51
$174
AK $468UT $132
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.