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 $426.58 Median $588.84 Typical High $812.83 | Facility | None | $426.58 | $588.84 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $331.13 | Facility | None | $190.55 | $295.12 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Florida Blue Setting Facility Modifier None Typical Low $245.47 Median $251.19 Typical High $251.19 | Facility | None | $245.47 | $251.19 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $562.34 | Professional | None (both parts) | $380.19 | $416.87 | $562.34 |
United Setting Facility Modifier None Typical Low $154.88 Median $1,621.81 Typical High $5,248.07 | Facility | None | $154.88 | $1,621.81 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | None (both parts) | $34.67 | $39.81 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
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 |
|---|---|---|---|---|---|
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $263.03 | Facility | TC · Technical part | $245.47 | $245.47 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Where Florida sits
The same service costs 120.2 times more in New Hampshire than in Idaho. 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· 45th of 49
$60.26
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.