How much rates vary
Facilitymedian $8,318 · 10th to 90th $708 to $19,055Professionalmedian $214 · 10th to 90th $28 to $324
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 $128.82 Median $165.96 Typical High $165.96 | Facility | None | $128.82 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $128.82 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $93.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $154.88 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $154.88 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $954.99 Typical High $1,148.15 | Facility | None | $398.11 | $954.99 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $213.80 | $229.09 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $91.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $229.09 | Professional | TC · Technical part | $128.82 | $134.90 | $229.09 |
Florida Blue Setting Facility Modifier None Typical Low $707.95 Median $9,549.93 Typical High $19,054.61 | Facility | None | $707.95 | $9,549.93 | $19,054.61 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $724.44 Median $9,549.93 Typical High $19,054.61 | Facility | 26 · Professional part | $724.44 | $9,549.93 | $19,054.61 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $724.44 Median $9,549.93 Typical High $19,054.61 | Facility | TC · Technical part | $724.44 | $9,549.93 | $19,054.61 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $338.84 | Professional | None (both parts) | $218.78 | $309.03 | $338.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $89.13 | $117.49 | $131.83 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $186.21 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $22.91 | $25.12 | $33.88 |
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 $39.81 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $39.81 | $229.09 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $77.62 | $100.00 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $151.36 | $239.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | TC · Technical part | $12.88 | $12.88 | $12.88 |
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 $63.10 Median $83.18 Typical High $131.83 | Professional | 52 · Reduced service | $63.10 | $83.18 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $33.11 Typical High $52.48 | Professional | 53 · Discontinued | $25.70 | $33.11 | $52.48 |
Where Florida sits
The same service costs 9.8 times more in Alaska than in New York. 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· 48th of 51
$214
AK $631NY $64.57
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.