How much rates vary
Facilitymedian $200 · 10th to 90th $129 to $646Professionalmedian $112 · 10th to 90th $78 to $229
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 $102.33 Median $891.25 Typical High $2,511.89 | Facility | None | $102.33 | $891.25 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $100.00 | $128.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $31.62 | Professional | 26 · Professional part | $17.78 | $21.38 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $104.71 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $95.50 | $112.20 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $26.92 | $26.92 | $46.77 |
AvMed Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $239.88 | Facility | None | $95.50 | $128.82 | $239.88 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $81.28 | $104.71 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $851.14 | Facility | None | $194.98 | $323.59 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $85.11 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.91 Typical High $46.77 | Professional | 26 · Professional part | $17.38 | $22.91 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $229.09 | Professional | TC · Technical part | $67.61 | $100.00 | $229.09 |
Florida Blue Setting Facility Modifier None Typical Low $134.90 Median $199.53 Typical High $524.81 | Facility | None | $134.90 | $199.53 | $524.81 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | 26 · Professional part | $199.53 | $199.53 | $204.17 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | TC · Technical part | $199.53 | $199.53 | $204.17 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $89.13 | $134.90 | $190.55 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $25.12 | $34.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $112.20 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $56.23 | $95.50 | $229.09 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $91.20 | $134.90 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $17.78 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $75.86 | $114.82 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
3 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 $50.12 Median $54.95 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $21.88 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
Where Florida sits
The same service costs 3.3 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· 50th of 51
$115
AK $316UT $95.50
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.