How much rates vary
Facilitymedian $417 · 10th to 90th $66 to $417Professionalmedian $110 · 10th to 90th $79 to $200
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 $102.33 Median $107.15 Typical High $109.65 | Facility | None | $102.33 | $107.15 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $97.72 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $21.88 | $22.91 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $77.62 | $85.11 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
AvMed Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $263.03 | Facility | None | $104.71 | $141.25 | $263.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $85.11 | $104.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $562.34 Typical High $676.08 | Facility | None | $213.80 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $104.71 | $134.90 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $19.05 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $208.93 | Professional | TC · Technical part | $87.10 | $109.65 | $208.93 |
Florida Blue Setting Facility Modifier None Typical Low $36.31 Median $416.87 Typical High $416.87 | Facility | None | $36.31 | $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 $66.07 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $66.07 | $100.00 | $151.36 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $22.39 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $22.39 | $35.48 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $37.15 | $81.28 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $35.48 | $112.20 | $199.53 |
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 $75.86 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $75.86 | $125.89 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $27.54 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $70.79 | $102.33 | $204.17 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $48.98 Median $53.70 Typical High $79.43 | Professional | 52 · Reduced service | $48.98 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $31.62 | Professional | 53 · Discontinued | $19.95 | $21.38 | $31.62 |
Where Florida sits
The same service costs 3.2 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
$110
AK $324TX $102
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.