How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $646Professionalmedian $132 · 10th to 90th $72 to $295
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 $109.65 Median $891.25 Typical High $2,511.89 | Facility | None | $109.65 | $891.25 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $75.86 | $109.65 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $41.69 | Professional | 26 · Professional part | $20.89 | $25.70 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $131.83 | Professional | TC · Technical part | $50.12 | $87.10 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $28.84 | $29.51 | $33.11 |
AvMed Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $251.19 | Facility | None | $102.33 | $134.90 | $251.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $63.10 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $851.14 | Facility | None | $199.53 | $323.59 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $331.13 | Professional | None (both parts) | $107.15 | $158.49 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $26.30 Typical High $54.95 | Professional | 26 · Professional part | $17.78 | $26.30 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $281.84 | Professional | TC · Technical part | $89.13 | $128.82 | $281.84 |
Florida Blue Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $245.47 | Facility | None | $162.18 | $199.53 | $245.47 |
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 $114.82 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $114.82 | $165.96 | $223.87 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $33.11 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $91.20 | $128.82 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $128.82 Typical High $323.59 | Professional | None (both parts) | $37.15 | $128.82 | $323.59 |
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 $114.82 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $114.82 | $165.96 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $141.25 | $257.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $38.02 Median $54.95 Typical High $75.86 | Professional | 52 · Reduced service | $38.02 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $15.14 | $21.88 | $30.20 |
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· 48th of 51
$132
AK $407UT $117
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.