How much rates vary
Facilitymedian $200 · 10th to 90th $126 to $646Professionalmedian $110 · 10th to 90th $78 to $229
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 $91.20 Median $501.19 Typical High $1,659.59 | Facility | None | $91.20 | $501.19 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $194.98 | Professional | None (both parts) | $91.20 | $114.82 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $13.80 | $20.42 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $93.33 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $93.33 | $93.33 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $16.98 | $18.62 | $31.62 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $234.42 | Facility | None | $93.33 | $125.89 | $234.42 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $79.43 | $100.00 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $851.14 | Facility | None | $190.55 | $302.00 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $83.18 | $125.89 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $20.89 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $20.89 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $102.33 Typical High $223.87 | Professional | TC · Technical part | $67.61 | $102.33 | $223.87 |
Florida Blue Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $549.54 | Facility | None | $138.04 | $199.53 | $549.54 |
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 $87.10 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $87.10 | $128.82 | $186.21 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $22.39 | $33.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $112.20 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $61.66 | $95.50 | $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 $91.20 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $91.20 | $131.83 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $14.79 | $22.91 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $117.49 | $208.93 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
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 $45.71 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $20.42 | $26.92 |
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· 50th of 51
$110
AK $302UT $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.