How much rates vary
Facilitymedian $417 · 10th to 90th $100 to $603Professionalmedian $372 · 10th to 90th $85 to $646
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 $354.81 Typical High $645.65 | Facility | None | $213.80 | $354.81 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $213.80 | $331.13 | $537.03 |
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 $169.82 Median $281.84 Typical High $467.74 | Professional | TC · Technical part | $169.82 | $281.84 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $501.19 | Professional | None (both parts) | $346.74 | $467.74 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $52.48 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,000.00 | Facility | None | $407.38 | $537.03 | $1,000.00 |
AvMed Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $446.68 | Professional | None (both parts) | $186.21 | $354.81 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $588.84 Typical High $758.58 | Facility | None | $302.00 | $588.84 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $295.12 | $380.19 | $776.25 |
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 $257.04 Median $331.13 Typical High $676.08 | Professional | TC · Technical part | $257.04 | $331.13 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $95.50 Median $416.87 Typical High $416.87 | Facility | None | $95.50 | $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 $141.25 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $141.25 | $346.74 | $489.78 |
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 $95.50 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $95.50 | $302.00 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $407.38 Typical High $741.31 | Professional | None (both parts) | $60.26 | $407.38 | $741.31 |
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 $154.88 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $154.88 | $380.19 | $776.25 |
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 $177.83 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $346.74 | $691.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $331.13 | $331.13 | $331.13 |
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 $107.15 Median $165.96 Typical High $234.42 | Professional | 52 · Reduced service | $107.15 | $165.96 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $66.07 Typical High $93.33 | Professional | 53 · Discontinued | $42.66 | $66.07 | $93.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 59 · Distinct service | $436.52 | $436.52 | $436.52 |
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· 48th of 51
$372
AK $933NM $309
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.