How much rates vary
Facilitymedian $417 · 10th to 90th $135 to $490Professionalmedian $295 · 10th to 90th $81 to $513
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 $213.80 Median $257.04 Typical High $354.81 | Facility | None | $213.80 | $257.04 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $213.80 | $257.04 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $46.77 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $165.96 | $208.93 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $323.59 | $346.74 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $72.44 | $102.33 |
AvMed Setting Facility Modifier None Typical Low $309.03 Median $416.87 Typical High $758.58 | Facility | None | $309.03 | $416.87 | $758.58 |
AvMed Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $190.55 | $281.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $588.84 Typical High $676.08 | Facility | None | $389.05 | $588.84 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $234.42 | $302.00 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $52.48 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $194.98 | $251.19 | $537.03 |
Florida Blue Setting Facility Modifier None Typical Low $134.90 Median $416.87 Typical High $416.87 | Facility | None | $134.90 | $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 $131.83 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $131.83 | $257.04 | $363.08 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $28.18 | $46.77 | $63.10 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $218.78 Typical High $309.03 | Professional | TC · Technical part | $93.33 | $218.78 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $60.26 | $309.03 | $575.44 |
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 $177.83 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $177.83 | $302.00 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $42.66 | $57.54 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $263.03 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
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 $104.71 Median $128.82 Typical High $177.83 | Professional | 52 · Reduced service | $104.71 | $128.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $51.29 Typical High $72.44 | Professional | 53 · Discontinued | $42.66 | $51.29 | $72.44 |
Where Florida sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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
$295
AK $776NM $240
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.