How much rates vary
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 $204.17 Median $218.78 Typical High $275.42 | Facility | None | $204.17 | $218.78 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $204.17 | $218.78 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $131.83 Typical High $190.55 | Professional | 26 · Professional part | $125.89 | $131.83 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $89.13 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $218.78 | $234.42 | $263.03 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $229.09 | Facility | None | $93.33 | $123.03 | $229.09 |
AvMed Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $107.15 | Professional | None (both parts) | $74.13 | $95.50 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $954.99 Typical High $1,148.15 | Facility | None | $416.87 | $954.99 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $489.78 | Professional | None (both parts) | $169.82 | $229.09 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $302.00 | Professional | 26 · Professional part | $107.15 | $147.91 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $85.11 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $398.11 Median $724.44 Typical High $776.25 | Facility | None | $398.11 | $724.44 | $776.25 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $707.95 Median $724.44 Typical High $776.25 | Facility | 26 · Professional part | $707.95 | $724.44 | $776.25 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $707.95 Median $724.44 Typical High $776.25 | Facility | TC · Technical part | $707.95 | $724.44 | $776.25 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $154.88 | $213.80 | $295.12 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $128.82 Typical High $181.97 | Professional | 26 · Professional part | $91.20 | $128.82 | $181.97 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $63.10 | $83.18 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $338.84 | Professional | None (both parts) | $91.20 | $186.21 | $338.84 |
United Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Facility | None | $436.52 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $181.97 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $162.18 Typical High $309.03 | Professional | 26 · Professional part | $117.49 | $162.18 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $104.71 | $190.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
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 $102.33 Median $109.65 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $109.65 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $43.65 Typical High $53.70 | Professional | 53 · Discontinued | $40.74 | $43.65 | $53.70 |
Where Florida sits
The same service costs 3.3 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
$219
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.