How much rates vary
Facilitymedian $417 · 10th to 90th $138 to $1,549Professionalmedian $141 · 10th to 90th $81 to $229
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 $158.49 Median $2,041.74 Typical High $4,365.16 | Facility | None | $158.49 | $2,041.74 | $4,365.16 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $141.25 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $109.65 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $154.88 | Professional | None (both parts) | $107.15 | $128.82 | $154.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $36.31 | $36.31 | $52.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $239.88 | Facility | None | $97.72 | $131.83 | $239.88 |
AvMed Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $83.18 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $302.00 Typical High $741.31 | Facility | None | $251.19 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $102.33 | $138.04 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $95.50 | Professional | 26 · Professional part | $28.18 | $38.02 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $239.88 | Professional | TC · Technical part | $72.44 | $100.00 | $239.88 |
Florida Blue Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $416.87 | Facility | None | $407.38 | $416.87 | $416.87 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $416.87 | Facility | 26 · Professional part | $407.38 | $416.87 | $416.87 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $416.87 Typical High $416.87 | Facility | TC · Technical part | $407.38 | $416.87 | $416.87 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $95.50 | $123.03 | $213.80 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $35.48 | $61.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $89.13 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $36.31 | $104.71 | $181.97 |
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 $120.23 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $120.23 | $177.83 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $89.13 | $128.82 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $144.54 | Professional | None (both parts) | $141.25 | $141.25 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 52 · Reduced service | $31.62 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Where Florida sits
The same service costs 3.3 times more in Alaska 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· 48th of 51
$141
AK $347TX $105
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.