How much rates vary
Facilitymedian $145 · 10th to 90th $74 to $631Professionalmedian $74 · 10th to 90th $54 to $151
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 $70.79 Median $125.89 Typical High $1,659.59 | Facility | None | $70.79 | $125.89 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $67.61 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $11.48 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $57.54 | $79.43 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $54.95 | $67.61 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $9.55 | $9.77 | $16.22 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $169.82 | Facility | None | $69.18 | $91.20 | $169.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $114.82 | Professional | None (both parts) | $58.88 | $74.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $741.31 | Facility | None | $190.55 | $213.80 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $177.83 | Professional | None (both parts) | $56.23 | $81.28 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $23.99 | Professional | 26 · Professional part | $8.91 | $12.30 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $154.88 | Professional | TC · Technical part | $46.77 | $70.79 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $269.15 | Facility | None | $97.72 | $125.89 | $269.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $56.23 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $56.23 | $87.10 | $131.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $15.49 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $15.49 | $17.38 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $46.77 | $74.13 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $67.61 Typical High $151.36 | Professional | None (both parts) | $37.15 | $67.61 | $151.36 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $60.26 | $89.13 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $9.55 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $79.43 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $79.43 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 26 · Professional part | $9.12 | $9.12 | $9.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $54.95 | $54.95 | $54.95 |
5 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 $33.88 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $33.88 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.79 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $14.79 | $19.50 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $60.26 Median $64.57 Typical High $66.07 | Professional | 59 · Distinct service | $60.26 | $64.57 | $66.07 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | Q6 · Substitute physician, paid per time | $64.57 | $64.57 | $66.07 |
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
$74.13
AK $209UT $63.10
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.