How much rates vary
Facilitymedian $417 · 10th to 90th $87 to $417Professionalmedian $117 · 10th to 90th $63 to $195
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 $117.49 Median $117.49 Typical High $151.36 | Facility | None | $117.49 | $117.49 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $114.82 | $117.49 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $66.07 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $53.70 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $128.82 | $134.90 | $186.21 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $144.54 | Facility | None | $58.88 | $79.43 | $144.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $47.86 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $47.86 | $58.88 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $562.34 Typical High $676.08 | Facility | None | $229.09 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $91.20 | $125.89 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $74.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $120.23 | Professional | TC · Technical part | $37.15 | $51.29 | $120.23 |
Florida Blue Setting Facility Modifier None Typical Low $199.53 Median $416.87 Typical High $416.87 | Facility | None | $199.53 | $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 $83.18 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $83.18 | $117.49 | $162.18 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $66.07 | $89.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $51.29 Typical High $72.44 | Professional | TC · Technical part | $37.15 | $51.29 | $72.44 |
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 $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 $97.72 Median $144.54 Typical High $263.03 | Professional | None (both parts) | $97.72 | $144.54 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $83.18 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $46.77 | $64.57 | $117.49 |
Wellpoint 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 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
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 $57.54 Median $58.88 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | 53 · Discontinued | $23.44 | $23.44 | $30.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $151.36 | Professional | 59 · Distinct service | $128.82 | $128.82 | $151.36 |
Where Florida sits
The same service costs 4.0 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
$117
AK $339TX $85.11
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.