How much rates vary
Facilitymedian $47 · 10th to 90th $17 to $3,162Professionalmedian $1,514 · 10th to 90th $389 to $2,692
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 $1,047.13 Median $1,513.56 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,513.56 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,513.56 Typical High $1,949.84 | Professional | None (both parts) | $1,047.13 | $1,513.56 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $275.42 Typical High $363.08 | Professional | 26 · Professional part | $251.19 | $275.42 | $363.08 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $1,230.27 Typical High $1,621.81 | Professional | TC · Technical part | $776.25 | $1,230.27 | $1,621.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | 26 · Professional part | $588.84 | $588.84 | $588.84 |
AvMed Setting Facility Modifier None Typical Low $1,548.82 Median $2,089.30 Typical High $3,801.89 | Facility | None | $1,548.82 | $2,089.30 | $3,801.89 |
AvMed Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,445.44 Typical High $1,698.24 | Professional | None (both parts) | $954.99 | $1,445.44 | $1,698.24 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,548.82 Typical High $3,311.31 | Professional | None (both parts) | $1,202.26 | $1,548.82 | $3,311.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $645.65 | Professional | 26 · Professional part | $229.09 | $302.00 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,230.27 Typical High $2,691.53 | Professional | TC · Technical part | $954.99 | $1,230.27 | $2,691.53 |
Florida Blue Setting Facility Modifier None Typical Low $14.13 Median $23.99 Typical High $36.31 | Facility | None | $14.13 | $23.99 | $36.31 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,380.38 Typical High $1,862.09 | Professional | None (both parts) | $691.83 | $1,380.38 | $1,862.09 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $269.15 Typical High $338.84 | Professional | 26 · Professional part | $173.78 | $269.15 | $338.84 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $1,096.48 Typical High $1,548.82 | Professional | TC · Technical part | $524.81 | $1,096.48 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,584.89 Typical High $2,884.03 | Professional | None (both parts) | $302.00 | $1,584.89 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,659.59 Typical High $3,311.31 | Professional | None (both parts) | $1,000.00 | $1,659.59 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $338.84 Typical High $645.65 | Professional | 26 · Professional part | $251.19 | $338.84 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,412.54 Typical High $2,818.38 | Professional | TC · Technical part | $954.99 | $1,412.54 | $2,818.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 26 · Professional part | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | TC · Technical part | $1,202.26 | $1,202.26 | $1,202.26 |
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 $512.86 Median $758.58 Typical High $954.99 | Professional | 52 · Reduced service | $512.86 | $758.58 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $208.93 | $302.00 | $380.19 |
Where Florida sits
The same service costs 3.2 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
$1,514
AK $4,467TX $1,413
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.