How much rates vary
Facilitymedian $219 · 10th to 90th $110 to $724Professionalmedian $112 · 10th to 90th $89 to $200
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 $89.13 Median $891.25 Typical High $2,511.89 | Facility | None | $89.13 | $891.25 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $89.13 | $109.65 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $20.89 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $20.89 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $87.10 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $123.03 | Professional | None (both parts) | $112.20 | $112.20 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $18.62 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $251.19 | Facility | None | $102.33 | $134.90 | $251.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $81.28 | $95.50 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $851.14 | Facility | None | $199.53 | $323.59 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $100.00 | $107.15 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $30.90 | Professional | 26 · Professional part | $16.98 | $17.78 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $190.55 | Professional | TC · Technical part | $83.18 | $87.10 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $275.42 Typical High $575.44 | Facility | None | $154.88 | $275.42 | $575.44 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $79.43 | $125.89 | $194.98 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $5.75 | $15.85 | $27.54 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $107.15 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $104.71 Typical High $208.93 | Professional | None (both parts) | $26.30 | $104.71 | $208.93 |
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 $107.15 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $107.15 | $147.91 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $19.50 Typical High $33.88 | Professional | 26 · Professional part | $10.72 | $19.50 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $128.82 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
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 $44.67 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $44.67 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $17.78 | $21.88 | $26.30 |
Where Florida sits
The same service costs 3.7 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· 49th of 51
$112
AK $363UT $97.72
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.