How much rates vary
Facilitymedian $457 · 10th to 90th $245 to $1,122Professionalmedian $224 · 10th to 90th $148 to $513
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 $204.17 Median $316.23 Typical High $1,659.59 | Facility | None | $204.17 | $316.23 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $204.17 | $251.19 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $61.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $123.03 | $186.21 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $169.82 | $199.53 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $43.65 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $489.78 | Facility | None | $199.53 | $263.03 | $489.78 |
AvMed Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $158.49 | $181.97 | $229.09 |
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 $181.97 Median $269.15 Typical High $588.84 | Professional | None (both parts) | $181.97 | $269.15 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $134.90 | Professional | 26 · Professional part | $39.81 | $58.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $213.80 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $281.84 Median $457.09 Typical High $1,071.52 | Facility | None | $281.84 | $457.09 | $1,071.52 |
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 $186.21 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $186.21 | $302.00 | $416.87 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $77.62 | $100.00 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $218.78 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $45.71 | $213.80 | $537.03 |
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 $199.53 Median $302.00 Typical High $549.54 | Professional | None (both parts) | $199.53 | $302.00 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $44.67 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $162.18 | $234.42 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
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 $100.00 Median $112.20 Typical High $144.54 | Professional | 52 · Reduced service | $100.00 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $44.67 Typical High $57.54 | Professional | 53 · Discontinued | $40.74 | $44.67 | $57.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $181.97 Median $199.53 Typical High $213.80 | Professional | 59 · Distinct service | $181.97 | $199.53 | $213.80 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | XS · Separate structure | $177.83 | $177.83 | $177.83 |
Where Florida sits
The same service costs 3.3 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
$224
MN $676UT $204
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.