How much rates vary
Facilitymedian $457 · 10th to 90th $219 to $1,148Professionalmedian $204 · 10th to 90th $145 to $468
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 $147.91 Median $288.40 Typical High $1,659.59 | Facility | None | $147.91 | $288.40 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $371.54 | Professional | None (both parts) | $147.91 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $33.88 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $181.97 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $151.36 | $186.21 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.20 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $30.20 | $44.67 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $154.88 | $162.18 | $162.18 |
AvMed Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $478.63 | Facility | None | $190.55 | $257.04 | $478.63 |
AvMed Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $218.78 | Professional | None (both parts) | $154.88 | $177.83 | $218.78 |
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 $162.18 Median $234.42 Typical High $512.86 | Professional | None (both parts) | $162.18 | $234.42 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $26.30 | $34.67 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $138.04 | $199.53 | $446.68 |
Florida Blue Setting Facility Modifier None Typical Low $257.04 Median $457.09 Typical High $1,148.15 | Facility | None | $257.04 | $457.09 | $1,148.15 |
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 $162.18 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $162.18 | $245.47 | $354.81 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $37.15 | $52.48 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $213.80 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $194.98 Typical High $489.78 | Professional | None (both parts) | $38.02 | $194.98 | $489.78 |
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 $177.83 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $177.83 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $229.09 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
4 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 $74.13 Median $102.33 Typical High $131.83 | Professional | 52 · Reduced service | $74.13 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $40.74 Typical High $53.70 | Professional | 53 · Discontinued | $29.51 | $40.74 | $53.70 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $186.21 Median $186.21 Typical High $194.98 | Professional | 59 · Distinct service | $186.21 | $186.21 | $194.98 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | Q6 · Substitute physician, paid per time | $186.21 | $186.21 | $190.55 |
Where Florida sits
The same service costs 3.2 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
$209
AK $603UT $191
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.