How much rates vary
Facilitymedian $457 · 10th to 90th $182 to $933Professionalmedian $166 · 10th to 90th $117 to $389
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 $154.88 Median $281.84 Typical High $1,479.11 | Facility | None | $154.88 | $281.84 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $323.59 | Professional | None (both parts) | $154.88 | $181.97 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $31.62 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $123.03 | $147.91 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $173.78 | Professional | None (both parts) | $120.23 | $151.36 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $19.05 | $26.30 | $33.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $117.49 | $123.03 | $128.82 |
AvMed Setting Facility Modifier None Typical Low $144.54 Median $194.98 Typical High $363.08 | Facility | None | $144.54 | $194.98 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $177.83 | Professional | None (both parts) | $123.03 | $154.88 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $851.14 | Facility | None | $281.84 | $524.81 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $398.11 | Professional | None (both parts) | $128.82 | $186.21 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $23.44 | $33.88 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $151.36 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $954.99 | Facility | None | $208.93 | $457.09 | $954.99 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $446.68 Median $457.09 Typical High $6,165.95 | Facility | 26 · Professional part | $446.68 | $457.09 | $6,165.95 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $457.09 Typical High $6,165.95 | Facility | TC · Technical part | $446.68 | $457.09 | $6,165.95 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $131.83 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $131.83 | $213.80 | $288.40 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $39.81 | $46.77 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $173.78 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $173.78 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $36.31 | $162.18 | $407.38 |
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 $138.04 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $138.04 | $204.17 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $117.49 | $173.78 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
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 $77.62 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $77.62 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | 53 · Discontinued | $30.20 | $31.62 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $141.25 Typical High $169.82 | Professional | 59 · Distinct service | $120.23 | $141.25 | $169.82 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | Q6 · Substitute physician, paid per time | $120.23 | $141.25 | $141.25 |
Where Florida sits
The same service costs 3.5 times more in Minnesota 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
$166
MN $550UT $158
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.