How much rates vary
Facilitymedian $407 · 10th to 90th $41 to $417Professionalmedian $65 · 10th to 90th $37 to $123
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 $58.88 Median $91.20 Typical High $102.33 | Facility | None | $58.88 | $91.20 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $91.20 Typical High $102.33 | Professional | None (both parts) | $52.48 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $14.79 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $38.02 | $75.86 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $47.86 Median $63.10 Typical High $117.49 | Facility | None | $47.86 | $63.10 | $117.49 |
AvMed Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $104.71 | Professional | None (both parts) | $40.74 | $50.12 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $562.34 Typical High $676.08 | Facility | None | $107.15 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $194.98 | Professional | None (both parts) | $44.67 | $61.66 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $17.38 Typical High $35.48 | Professional | 26 · Professional part | $12.59 | $17.38 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $154.88 | Professional | TC · Technical part | $32.36 | $43.65 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $37.15 Median $416.87 Typical High $416.87 | Facility | None | $37.15 | $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 $43.65 Median $52.48 Typical High $104.71 | Professional | None (both parts) | $43.65 | $52.48 | $104.71 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $10.47 | $15.14 | $24.55 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $18.62 | $38.02 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $53.70 Typical High $91.20 | Professional | None (both parts) | $26.92 | $53.70 | $91.20 |
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 $47.86 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $47.86 | $77.62 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $18.62 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $18.62 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $138.04 | Professional | TC · Technical part | $35.48 | $63.10 | $138.04 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | 26 · Professional part | $14.13 | $14.13 | $14.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
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 $26.30 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $26.30 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $10.47 | $18.20 | $20.42 |
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
$64.57
AK $162TX $51.29
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.