How much rates vary
Facilitymedian $107 · 10th to 90th $45 to $355Professionalmedian $214 · 10th to 90th $40 to $457
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 $213.80 Median $213.80 Typical High $257.04 | Facility | None | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $213.80 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $208.93 Typical High $257.04 | Professional | 26 · Professional part | $194.98 | $208.93 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $23.99 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
AvMed Setting Facility Modifier None Typical Low $43.65 Median $56.23 Typical High $107.15 | Facility | None | $43.65 | $56.23 | $107.15 |
AvMed Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $91.20 | Professional | None (both parts) | $36.31 | $46.77 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $602.56 | Facility | None | $45.71 | $54.95 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $501.19 | Professional | None (both parts) | $194.98 | $229.09 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $194.98 Typical High $416.87 | Professional | 26 · Professional part | $165.96 | $194.98 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $35.48 | $79.43 |
Florida Blue Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $467.74 | Professional | None (both parts) | $190.55 | $229.09 | $467.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $190.55 Typical High $302.00 | Professional | 26 · Professional part | $162.18 | $190.55 | $302.00 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $169.82 | Professional | TC · Technical part | $30.90 | $38.02 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $34.67 | $234.42 | $512.86 |
United Setting Facility Modifier None Typical Low $354.81 Median $380.19 Typical High $380.19 | Facility | None | $354.81 | $380.19 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $60.26 Typical High $380.19 | Professional | None (both parts) | $34.67 | $60.26 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $229.09 Typical High $416.87 | Professional | 26 · Professional part | $165.96 | $229.09 | $416.87 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $100.00 | Professional | TC · Technical part | $24.55 | $39.81 | $100.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $213.80 | $213.80 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $177.83 | $177.83 | $229.09 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $36.31 | $36.31 | $44.67 |
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 $107.15 Median $117.49 Typical High $147.91 | Professional | 52 · Reduced service | $107.15 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $46.77 Typical High $58.88 | Professional | 53 · Discontinued | $42.66 | $46.77 | $58.88 |
Where Florida sits
The same service costs 3.3 times more in Minnesota 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· 50th of 51
$214
MN $661UT $200
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.