How much rates vary
Facilitymedian $631 · 10th to 90th $39 to $724Professionalmedian $43 · 10th to 90th $26 to $68
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 $45.71 Median $57.54 Typical High $489.78 | Facility | None | $45.71 | $57.54 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $45.71 | $47.86 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $15.49 | Professional | 26 · Professional part | $10.23 | $11.22 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $33.88 | $38.02 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $34.67 | $38.02 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $11.75 | Professional | 26 · Professional part | $9.33 | $9.33 | $11.75 |
AvMed Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $77.62 | Facility | None | $31.62 | $42.66 | $77.62 |
AvMed Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $46.77 | Professional | None (both parts) | $25.70 | $30.20 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $562.34 Typical High $676.08 | Facility | None | $85.11 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $27.54 Typical High $72.44 | Professional | None (both parts) | $26.30 | $27.54 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.24 Typical High $16.60 | Professional | 26 · Professional part | $7.08 | $7.24 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $20.42 Typical High $56.23 | Professional | TC · Technical part | $19.05 | $20.42 | $56.23 |
Florida Blue Setting Facility Modifier None Typical Low $38.90 Median $724.44 Typical High $724.44 | Facility | None | $38.90 | $724.44 | $724.44 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $724.44 Median $8,912.51 Typical High $16,982.44 | Facility | 26 · Professional part | $724.44 | $8,912.51 | $16,982.44 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $8,912.51 Typical High $16,982.44 | Facility | TC · Technical part | $724.44 | $8,912.51 | $16,982.44 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $26.30 Median $50.12 Typical High $61.66 | Professional | None (both parts) | $26.30 | $50.12 | $61.66 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $13.18 Typical High $19.05 | Professional | 26 · Professional part | $6.92 | $13.18 | $19.05 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $19.50 | $37.15 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.75 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $11.75 | $33.11 | $69.18 |
United Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Facility | None | $436.52 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $70.79 | Professional | None (both parts) | $37.15 | $51.29 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $11.75 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $38.90 | $60.26 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None (both parts) | $33.11 | $33.11 | $42.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $10.47 | Professional | 26 · Professional part | $7.76 | $7.76 | $10.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $31.62 | Professional | TC · Technical part | $25.12 | $25.12 | $31.62 |
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 $22.91 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $22.91 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.55 Typical High $10.23 | Professional | 53 · Discontinued | $9.12 | $9.55 | $10.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $32.36 Median $38.02 Typical High $41.69 | Professional | 59 · Distinct service | $32.36 | $38.02 | $41.69 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | GA · Liability notice issued | $32.36 | $32.36 | $38.02 |
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· 47th of 51
$42.66
MN $105UT $31.62
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.