How much rates vary
Facilitymedian $100 · 10th to 90th $30 to $195Professionalmedian $135 · 10th to 90th $72 to $219
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 $100.00 Median $138.04 Typical High $194.98 | Facility | None | $100.00 | $138.04 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $100.00 | $138.04 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $66.07 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $33.88 | $70.79 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $147.91 | $147.91 | $158.49 |
AvMed Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $190.55 | Facility | None | $77.62 | $102.33 | $190.55 |
AvMed Setting Professional Modifier None (both parts) Typical Low $41.69 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $41.69 | $67.61 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $257.04 Typical High $269.15 | Facility | None | $229.09 | $257.04 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $109.65 | $141.25 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $56.23 | $75.86 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $69.18 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $30.20 Median $79.43 Typical High $162.18 | Facility | None | $30.20 | $79.43 | $162.18 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $70.79 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $70.79 | $125.89 | $177.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $69.18 | $100.00 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $23.44 | $57.54 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $208.93 | Professional | None (both parts) | $63.10 | $112.20 | $208.93 |
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 $95.50 Median $154.88 Typical High $302.00 | Professional | None (both parts) | $95.50 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $83.18 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $39.81 | $79.43 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $63.10 | $63.10 | $63.10 |
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 $48.98 Median $69.18 Typical High $87.10 | Professional | 52 · Reduced service | $48.98 | $69.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $27.54 Typical High $34.67 | Professional | 53 · Discontinued | $19.95 | $27.54 | $34.67 |
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
$135
AK $398TX $102
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.