How much rates vary
Facilitymedian $42 · 10th to 90th $19 to $132Professionalmedian $32 · 10th to 90th $26 to $55
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 $30.20 Median $31.62 Typical High $33.88 | Facility | None | $30.20 | $31.62 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $30.20 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $11.48 | $12.30 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $17.78 | $19.50 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $42.66 | Professional | None (both parts) | $33.11 | $37.15 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.85 Typical High $19.50 | Professional | 26 · Professional part | $14.45 | $15.85 | $19.50 |
AvMed Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $66.07 | Facility | None | $26.92 | $35.48 | $66.07 |
AvMed Setting Professional Modifier None (both parts) Typical Low $21.38 Median $23.44 Typical High $29.51 | Professional | None (both parts) | $21.38 | $23.44 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $562.34 Typical High $676.08 | Facility | None | $67.61 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $27.54 Typical High $52.48 | Professional | None (both parts) | $26.30 | $27.54 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $10.00 | $10.23 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $32.36 | Professional | TC · Technical part | $16.22 | $17.38 | $32.36 |
Florida Blue Setting Facility Modifier None Typical Low $19.50 Median $48.98 Typical High $104.71 | Facility | None | $19.50 | $48.98 | $104.71 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $16.98 Median $33.88 Typical High $47.86 | Professional | None (both parts) | $16.98 | $33.88 | $47.86 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $14.79 Typical High $17.78 | Professional | 26 · Professional part | $6.76 | $14.79 | $17.78 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $17.78 Typical High $30.90 | Professional | TC · Technical part | $10.23 | $17.78 | $30.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.60 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $16.60 | $31.62 | $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 $26.92 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $26.92 | $35.48 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $12.88 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $33.11 | Professional | TC · Technical part | $16.22 | $20.42 | $33.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None (both parts) | $32.36 | $32.36 | $40.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | 26 · Professional part | $11.22 | $11.22 | $14.45 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | TC · Technical part | $21.38 | $21.38 | $26.92 |
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 $15.14 Median $15.85 Typical High $19.95 | Professional | 52 · Reduced service | $15.14 | $15.85 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.31 Typical High $7.94 | Professional | 53 · Discontinued | $6.03 | $6.31 | $7.94 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 59 · Distinct service | $36.31 | $42.66 | $42.66 |
Where Florida sits
The same service costs 2.7 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· 50th of 51
$32.36
MN $83.18UT $30.90
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.