How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $1,259Professionalmedian $229 · 10th to 90th $120 to $537
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 $162.18 Median $891.25 Typical High $2,511.89 | Facility | None | $162.18 | $891.25 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $134.90 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $40.74 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $93.33 | $177.83 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $199.53 | $208.93 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $26.30 | $69.18 |
AvMed Setting Facility Modifier None Typical Low $213.80 Median $288.40 Typical High $524.81 | Facility | None | $213.80 | $288.40 | $524.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $158.49 | $194.98 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $1,000.00 | Facility | None | $281.84 | $524.81 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $181.97 | $263.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $45.71 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $218.78 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $457.09 Typical High $851.14 | Facility | None | $251.19 | $457.09 | $851.14 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $457.09 Typical High $6,760.83 | Facility | 26 · Professional part | $446.68 | $457.09 | $6,760.83 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $457.09 Typical High $6,760.83 | Facility | TC · Technical part | $446.68 | $457.09 | $6,760.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $181.97 | $257.04 | $371.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $53.70 | $63.10 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $208.93 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $42.66 | $223.87 | $562.34 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $190.55 | $275.42 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $48.98 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $234.42 | $436.52 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $173.78 | $173.78 | $173.78 |
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 $60.26 Median $107.15 Typical High $138.04 | Professional | 52 · Reduced service | $60.26 | $107.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $42.66 Typical High $56.23 | Professional | 53 · Discontinued | $23.99 | $42.66 | $56.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 59 · Distinct service | $208.93 | $208.93 | $208.93 |
Where Florida sits
The same service costs 3.0 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
$234
AK $646UT $214
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.