How much rates vary
Facilitymedian $69 · 10th to 90th $36 to $155Professionalmedian $98 · 10th to 90th $60 to $162
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 $67.61 Median $97.72 Typical High $138.04 | Facility | None | $67.61 | $97.72 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $67.61 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $40.74 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $56.23 Typical High $70.79 | Professional | TC · Technical part | $27.54 | $56.23 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $162.18 | Facility | None | $64.57 | $87.10 | $162.18 |
AvMed Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $70.79 | Professional | None (both parts) | $34.67 | $57.54 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $229.09 Typical High $269.15 | Facility | None | $162.18 | $229.09 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $75.86 | $100.00 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $100.00 | Professional | 26 · Professional part | $34.67 | $46.77 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $120.23 | Professional | TC · Technical part | $41.69 | $53.70 | $120.23 |
Florida Blue Setting Facility Modifier None Typical Low $35.48 Median $40.74 Typical High $85.11 | Facility | None | $35.48 | $40.74 | $85.11 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $48.98 | $87.10 | $128.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $43.65 | $61.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $18.62 | $48.98 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $53.70 | $85.11 | $165.96 |
United Setting Facility Modifier None Typical Low $154.88 Median $165.96 Typical High $165.96 | Facility | None | $154.88 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $67.61 | $109.65 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $123.03 | Professional | TC · Technical part | $35.48 | $60.26 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
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 $33.88 Median $47.86 Typical High $61.66 | Professional | 52 · Reduced service | $33.88 | $47.86 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $19.50 Typical High $24.55 | Professional | 53 · Discontinued | $13.49 | $19.50 | $24.55 |
Where Florida sits
The same service costs 3.9 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· 47th of 51
$97.72
AK $282TX $72.44
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.