How much rates vary
Facilitymedian $69 · 10th to 90th $49 to $117Professionalmedian $71 · 10th to 90th $51 to $126
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 $64.57 Median $64.57 Typical High $70.79 | Facility | None | $64.57 | $64.57 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $97.72 | Professional | None (both parts) | $64.57 | $64.57 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $31.62 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $33.88 | $52.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
AvMed Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $120.23 | Facility | None | $48.98 | $64.57 | $120.23 |
AvMed Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $53.70 | Professional | None (both parts) | $39.81 | $47.86 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $89.13 Typical High $141.25 | Facility | None | $81.28 | $89.13 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $57.54 | $77.62 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $33.88 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $42.66 | $85.11 |
Florida Blue Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $79.43 | Facility | None | $69.18 | $69.18 | $79.43 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $97.72 | Professional | None (both parts) | $60.26 | $72.44 | $97.72 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $31.62 | $42.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $39.81 | $53.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $36.31 | $77.62 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $58.88 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $72.44 | Professional | 26 · Professional part | $28.18 | $38.90 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $33.11 | $45.71 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
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 $30.90 Median $32.36 Typical High $44.67 | Professional | 52 · Reduced service | $30.90 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $17.78 | Professional | 53 · Discontinued | $12.30 | $13.18 | $17.78 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 59 · Distinct service | $79.43 | $79.43 | $79.43 |
Where Florida sits
The same service costs 3.0 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· 49th of 51
$70.79
AK $204TX $67.61
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.