How much rates vary
Facilitymedian $200 · 10th to 90th $123 to $646Professionalmedian $120 · 10th to 90th $79 to $240
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 $95.50 Median $190.55 Typical High $1,659.59 | Facility | None | $95.50 | $190.55 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $95.50 | $120.23 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $21.38 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $100.00 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $87.10 | $109.65 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $13.18 | $18.62 | $29.51 |
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 $87.10 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $87.10 | $102.33 | $117.49 |
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 $97.72 Median $138.04 Typical High $309.03 | Professional | None (both parts) | $97.72 | $138.04 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $22.39 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $117.49 | $269.15 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $199.53 Typical High $524.81 | Facility | None | $154.88 | $199.53 | $524.81 |
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 $97.72 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $97.72 | $147.91 | $223.87 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $16.60 | $23.44 | $33.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $125.89 | $186.21 |
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 $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 $107.15 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $107.15 | $154.88 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $91.20 | $138.04 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
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 $47.86 Median $53.70 Typical High $72.44 | Professional | 52 · Reduced service | $47.86 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.38 Typical High $28.84 | Professional | 53 · Discontinued | $19.05 | $21.38 | $28.84 |
Where Florida sits
The same service costs 3.7 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
$120
AK $355UT $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.