How much rates vary
Facilitymedian $200 · 10th to 90th $107 to $631Professionalmedian $100 · 10th to 90th $76 to $219
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 $151.36 Typical High $1,174.90 | Facility | None | $95.50 | $151.36 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $95.50 | $114.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $38.02 | Professional | 26 · Professional part | $17.78 | $20.42 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $93.33 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $75.86 | $89.13 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $26.30 | Professional | 26 · Professional part | $12.02 | $16.98 | $26.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $74.13 | $74.13 | $102.33 |
AvMed Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $229.09 | Facility | None | $91.20 | $123.03 | $229.09 |
AvMed Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $77.62 | $97.72 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $295.12 Typical High $851.14 | Facility | None | $181.97 | $295.12 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $257.04 | Professional | None (both parts) | $81.28 | $114.82 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $15.14 | $21.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $218.78 | Professional | TC · Technical part | $66.07 | $95.50 | $218.78 |
Florida Blue Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $549.54 | Facility | None | $141.25 | $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 $83.18 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $83.18 | $141.25 | $181.97 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $25.12 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $25.12 | $30.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $67.61 | $114.82 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $60.26 | $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 $85.11 Median $128.82 Typical High $239.88 | Professional | None (both parts) | $85.11 | $128.82 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $16.60 | $22.91 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $109.65 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
5 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 $48.98 Typical High $67.61 | Professional | 52 · Reduced service | $45.71 | $48.98 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $26.92 | Professional | 53 · Discontinued | $18.20 | $19.50 | $26.92 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | 59 · Distinct service | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | XU · Unusual separate service | $89.13 | $89.13 | $89.13 |
Where Florida sits
The same service costs 4.0 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
$102
MN $380UT $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.