How much rates vary
Facilitymedian $417 · 10th to 90th $69 to $417Professionalmedian $100 · 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 $97.72 Median $100.00 Typical High $177.83 | Facility | None | $97.72 | $100.00 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $97.72 | $100.00 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $54.95 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $45.71 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $107.15 | $107.15 | $154.88 |
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 $38.90 Median $48.98 Typical High $56.23 | Professional | None (both parts) | $38.90 | $48.98 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $562.34 Typical High $676.08 | Facility | None | $190.55 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $229.09 | Professional | None (both parts) | $75.86 | $104.71 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $44.67 | $61.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $31.62 | $42.66 | $100.00 |
Florida Blue Setting Facility Modifier None Typical Low $131.83 Median $416.87 Typical High $416.87 | Facility | None | $131.83 | $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 $69.18 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $69.18 | $97.72 | $134.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $54.95 | $75.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $30.90 | $41.69 | $60.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $81.28 Typical High $138.04 | Professional | None (both parts) | $53.70 | $81.28 | $138.04 |
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 $81.28 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $81.28 | $120.23 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $69.18 Typical High $128.82 | Professional | 26 · Professional part | $50.12 | $69.18 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $97.72 | Professional | TC · Technical part | $38.90 | $53.70 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
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 $48.98 Median $50.12 Typical High $63.10 | Professional | 52 · Reduced service | $48.98 | $50.12 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $25.12 | Professional | 53 · Discontinued | $19.50 | $19.95 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 59 · Distinct service | $107.15 | $107.15 | $107.15 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in Utah. 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
$100
AK $275UT $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.