How much rates vary
Facilitymedian $417 · 10th to 90th $85 to $417Professionalmedian $126 · 10th to 90th $66 to $209
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 $123.03 Median $123.03 Typical High $128.82 | Facility | None | $123.03 | $123.03 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $117.49 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $74.13 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $46.77 | $50.12 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | None (both parts) | $141.25 | $141.25 | $147.91 |
AvMed Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $158.49 | Facility | None | $64.57 | $85.11 | $158.49 |
AvMed Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $70.79 | Professional | None (both parts) | $51.29 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $676.08 | Facility | None | $251.19 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $104.71 | $141.25 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $81.28 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $44.67 | $60.26 | $117.49 |
Florida Blue Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $416.87 | Facility | None | $407.38 | $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 $87.10 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $87.10 | $125.89 | $173.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $72.44 | $102.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $36.31 | $54.95 | $70.79 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $53.70 | $107.15 | $204.17 |
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 $104.71 Median $151.36 Typical High $275.42 | Professional | None (both parts) | $104.71 | $151.36 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $91.20 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $114.82 | Professional | TC · Technical part | $44.67 | $63.10 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $58.88 Median $61.66 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $23.44 | $25.12 | $32.36 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $141.25 Median $141.25 Typical High $151.36 | Professional | 59 · Distinct service | $141.25 | $141.25 | $151.36 |
Where Florida sits
The same service costs 3.6 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· 48th of 51
$126
AK $380TX $105
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.