How much rates vary
Facilitymedian $417 · 10th to 90th $145 to $891Professionalmedian $117 · 10th to 90th $79 to $234
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 $114.82 Median $501.19 Typical High $1,659.59 | Facility | None | $114.82 | $501.19 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $234.42 | Professional | None (both parts) | $104.71 | $144.54 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $17.78 | $19.95 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $123.03 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $125.89 | Professional | None (both parts) | $89.13 | $104.71 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $19.05 | $26.92 |
AvMed Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $263.03 | Facility | None | $107.15 | $144.54 | $263.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $91.20 | $114.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $851.14 | Facility | None | $190.55 | $331.13 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $128.82 Typical High $275.42 | Professional | None (both parts) | $87.10 | $128.82 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $15.49 | $22.39 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $107.15 Typical High $234.42 | Professional | TC · Technical part | $70.79 | $107.15 | $234.42 |
Florida Blue Setting Facility Modifier None Typical Low $151.36 Median $416.87 Typical High $616.60 | Facility | None | $151.36 | $416.87 | $616.60 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $6,606.93 | Facility | 26 · Professional part | $407.38 | $416.87 | $6,606.93 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $6,606.93 | Facility | TC · Technical part | $407.38 | $416.87 | $6,606.93 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $95.50 | $138.04 | $208.93 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $28.18 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $112.20 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $64.57 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $64.57 | $104.71 | $229.09 |
United Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $269.15 | Facility | None | $251.19 | $269.15 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $269.15 | Professional | None (both parts) | $95.50 | $138.04 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $22.91 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $123.03 Typical High $229.09 | Professional | TC · Technical part | $81.28 | $123.03 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
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 $52.48 Median $57.54 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $57.54 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $30.20 | Professional | 53 · Discontinued | $20.89 | $22.91 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $102.33 Median $104.71 Typical High $125.89 | Professional | 59 · Distinct service | $102.33 | $104.71 | $125.89 |
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
$117
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.