How much rates vary
Facilitymedian $35 · 10th to 90th $22 to $112Professionalmedian $28 · 10th to 90th $18 to $50
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 $26.92 Median $30.20 Typical High $44.67 | Facility | None | $26.92 | $30.20 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $26.92 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $10.00 | Professional | 26 · Professional part | $6.61 | $7.08 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $29.51 | Professional | TC · Technical part | $19.95 | $21.88 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.30 Typical High $28.84 | Professional | None (both parts) | $23.44 | $26.30 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.59 Typical High $9.12 | Professional | 26 · Professional part | $7.59 | $7.59 | $9.12 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $51.29 | Facility | None | $20.42 | $27.54 | $51.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.95 Typical High $27.54 | Professional | None (both parts) | $16.60 | $19.95 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $281.84 Typical High $331.13 | Facility | None | $47.86 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.50 Typical High $44.67 | Professional | None (both parts) | $18.20 | $19.50 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $11.48 | Professional | 26 · Professional part | $5.75 | $5.89 | $11.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $13.49 Typical High $33.11 | Professional | TC · Technical part | $12.59 | $13.49 | $33.11 |
Florida Blue Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $91.20 | Facility | None | $23.44 | $42.66 | $91.20 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $15.14 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $15.14 | $31.62 | $37.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $3.98 Median $8.71 Typical High $11.48 | Professional | 26 · Professional part | $3.98 | $8.71 | $11.48 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $22.91 Typical High $26.92 | Professional | TC · Technical part | $11.22 | $22.91 | $26.92 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $28.84 Typical High $69.18 | Professional | None (both parts) | $9.77 | $28.84 | $69.18 |
United Setting Facility Modifier None Typical Low $251.19 Median $269.15 Typical High $269.15 | Facility | None | $251.19 | $269.15 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $23.99 | $33.88 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.41 Typical High $12.02 | Professional | 26 · Professional part | $5.89 | $7.41 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $36.31 | Professional | TC · Technical part | $17.78 | $22.39 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $28.84 | Professional | None (both parts) | $22.91 | $22.91 | $28.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $8.51 | Professional | 26 · Professional part | $6.46 | $6.46 | $8.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | TC · Technical part | $16.60 | $16.60 | $20.42 |
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 $13.49 Median $14.13 Typical High $16.22 | Professional | 52 · Reduced service | $13.49 | $14.13 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.75 Typical High $6.46 | Professional | 53 · Discontinued | $5.37 | $5.75 | $6.46 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.08 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $26.30 Typical High $28.84 | Professional | 59 · Distinct service | $24.55 | $26.30 | $28.84 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | Q6 · Substitute physician, paid per time | $28.84 | $28.84 | $28.84 |
Where Florida sits
The same service costs 2.5 times more in Minnesota than in Texas. 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
$27.54
MN $67.61TX $26.92
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.