How much rates vary
Facilitymedian $74 · 10th to 90th $32 to $170Professionalmedian $71 · 10th to 90th $50 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 $53.70 Median $60.26 Typical High $66.07 | Facility | None | $53.70 | $60.26 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $87.10 | Professional | None (both parts) | $53.70 | $60.26 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $33.88 | Professional | 26 · Professional part | $24.55 | $25.12 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $35.48 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $85.11 | Professional | None (both parts) | $81.28 | $81.28 | $85.11 |
AvMed Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $125.89 | Facility | None | $51.29 | $69.18 | $125.89 |
AvMed Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $56.23 | Professional | None (both parts) | $37.15 | $50.12 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $162.18 | Facility | None | $109.65 | $123.03 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $151.36 | Professional | None (both parts) | $56.23 | $72.44 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $61.66 | Professional | 26 · Professional part | $21.88 | $28.84 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $93.33 | Professional | TC · Technical part | $34.67 | $44.67 | $93.33 |
Florida Blue Setting Facility Modifier None Typical Low $31.62 Median $81.28 Typical High $173.78 | Facility | None | $31.62 | $81.28 | $173.78 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $91.20 | Professional | None (both parts) | $38.90 | $66.07 | $91.20 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $17.38 | $26.92 | $38.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $21.38 | $38.02 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $36.31 | $75.86 | $128.82 |
United Setting Facility Modifier None Typical Low $69.18 Median $74.13 Typical High $74.13 | Facility | None | $69.18 | $74.13 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $54.95 | $77.62 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $23.44 | $31.62 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $89.13 | Professional | TC · Technical part | $33.11 | $46.77 | $89.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $26.92 Median $30.20 Typical High $43.65 | Professional | 52 · Reduced service | $26.92 | $30.20 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $17.38 | Professional | 53 · Discontinued | $10.72 | $12.30 | $17.38 |
Where Florida sits
The same service costs 3.0 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· 50th of 51
$70.79
AK $204TX $69.18
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.