How much rates vary
Facilitymedian $457 · 10th to 90th $209 to $1,122Professionalmedian $240 · 10th to 90th $162 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 $208.93 Median $891.25 Typical High $2,511.89 | Facility | None | $208.93 | $891.25 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $346.74 | Professional | None (both parts) | $199.53 | $218.78 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $33.88 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $186.21 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $223.87 | $223.87 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $36.31 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
AvMed Setting Facility Modifier None Typical Low $162.18 Median $213.80 Typical High $223.87 | Facility | None | $162.18 | $213.80 | $223.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $162.18 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $162.18 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $309.03 Typical High $758.58 | Facility | None | $134.90 | $309.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $489.78 | Professional | None (both parts) | $169.82 | $239.88 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $74.13 | Professional | 26 · Professional part | $27.54 | $38.02 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $204.17 | $416.87 |
Florida Blue Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $6,165.95 | Facility | None | $446.68 | $457.09 | $6,165.95 |
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 $169.82 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $169.82 | $257.04 | $331.13 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $40.74 | $54.95 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $141.25 | $218.78 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $38.02 | $257.04 | $575.44 |
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 $194.98 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $194.98 | $269.15 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $74.13 | Professional | 26 · Professional part | $29.51 | $40.74 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $229.09 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
3 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 $109.65 Typical High $144.54 | Professional | 52 · Reduced service | $100.00 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $44.67 Typical High $57.54 | Professional | 53 · Discontinued | $39.81 | $44.67 | $57.54 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | 52 · Reduced service | $52.48 | $52.48 | $61.66 |
Where Florida sits
The same service costs 3.1 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· 48th of 51
$240
AK $631UT $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.