How much rates vary
Facilitymedian $417 · 10th to 90th $123 to $513Professionalmedian $324 · 10th to 90th $85 to $562
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 $194.98 Median $288.40 Typical High $512.86 | Facility | None | $194.98 | $288.40 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $194.98 | $288.40 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $44.67 | $46.77 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $147.91 | $239.88 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $407.38 Typical High $426.58 | Professional | None (both parts) | $371.54 | $407.38 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $56.23 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $831.76 | Facility | None | $338.84 | $457.09 | $831.76 |
AvMed Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $371.54 | Professional | None (both parts) | $169.82 | $302.00 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $676.08 | Facility | None | $302.00 | $588.84 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $257.04 | $331.13 | $676.08 |
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 $218.78 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $218.78 | $281.84 | $562.34 |
Florida Blue Setting Facility Modifier None Typical Low $123.03 Median $416.87 Typical High $416.87 | Facility | None | $123.03 | $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 $295.12 Typical High $426.58 | Professional | None (both parts) | $131.83 | $295.12 | $426.58 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $47.86 | $66.07 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $85.11 | $257.04 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $60.26 | $338.84 | $630.96 |
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 $162.18 Median $323.59 Typical High $660.69 | Professional | None (both parts) | $162.18 | $323.59 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $57.54 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $281.84 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
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 $97.72 Median $141.25 Typical High $199.53 | Professional | 52 · Reduced service | $97.72 | $141.25 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $57.54 Typical High $79.43 | Professional | 53 · Discontinued | $38.90 | $57.54 | $79.43 |
Where Florida sits
The same service costs 3.0 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· 47th of 51
$324
AK $794NM $269
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.