How much rates vary
Facilitymedian $724 · 10th to 90th $40 to $14,454Professionalmedian $49 · 10th to 90th $34 to $81
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 $46.77 Median $47.86 Typical High $67.61 | Facility | None | $46.77 | $47.86 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $46.77 | $47.86 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $23.99 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $40.74 | Professional | TC · Technical part | $22.91 | $24.55 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $61.66 | $61.66 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $97.72 | Facility | None | $39.81 | $52.48 | $97.72 |
AvMed Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $43.65 | Professional | None (both parts) | $30.90 | $34.67 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $562.34 Typical High $676.08 | Facility | None | $112.20 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $43.65 Typical High $85.11 | Professional | None (both parts) | $41.69 | $43.65 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $38.90 | Professional | 26 · Professional part | $19.05 | $19.50 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $22.39 | $23.99 | $44.67 |
Florida Blue Setting Facility Modifier None Typical Low $30.20 Median $724.44 Typical High $15,848.93 | Facility | None | $30.20 | $724.44 | $15,848.93 |
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 $61.66 Typical High $154.88 | Professional | None (both parts) | $26.30 | $61.66 | $154.88 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $13.18 | $28.84 | $34.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $31.62 Typical High $120.23 | Professional | TC · Technical part | $13.18 | $31.62 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $26.92 | $52.48 | $100.00 |
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 $52.48 Typical High $74.13 | Professional | None (both parts) | $37.15 | $52.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $25.12 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $27.54 | $43.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | None (both parts) | $53.70 | $53.70 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $31.62 | $31.62 | $39.81 |
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 $23.44 Median $23.99 Typical High $30.90 | Professional | 52 · Reduced service | $23.44 | $23.99 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.55 Typical High $12.30 | Professional | 53 · Discontinued | $9.33 | $9.55 | $12.30 |
Where Florida sits
The same service costs 3.6 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· 49th of 51
$50.12
MN $141TX $38.90
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.