How much rates vary
Facilitymedian $245 · 10th to 90th $25 to $251Professionalmedian $78 · 10th to 90th $48 to $151
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 $47.86 Median $64.57 Typical High $117.49 | Facility | None | $47.86 | $64.57 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $112.20 | Professional | None (both parts) | $47.86 | $64.57 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $26.92 | $28.18 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $75.86 | Professional | TC · Technical part | $19.95 | $37.15 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $95.50 | $95.50 | $104.71 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $169.82 | Facility | None | $69.18 | $93.33 | $169.82 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.44 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $23.44 | $60.26 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $331.13 | Facility | None | $169.82 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $72.44 | $87.10 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $23.99 | $32.36 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $47.86 | $54.95 | $112.20 |
Florida Blue Setting Facility Modifier None Typical Low $13.49 Median $245.47 Typical High $251.19 | Facility | None | $13.49 | $245.47 | $251.19 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $251.19 | Facility | 26 · Professional part | $245.47 | $245.47 | $251.19 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $251.19 | Facility | TC · Technical part | $245.47 | $245.47 | $251.19 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $34.67 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $34.67 | $75.86 | $107.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $19.50 | $28.84 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $13.18 | $51.29 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $35.48 | $85.11 | $169.82 |
United Setting Facility Modifier None Typical Low $147.91 Median $162.18 Typical High $162.18 | Facility | None | $147.91 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $51.29 | $83.18 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $53.70 Typical High $107.15 | Professional | TC · Technical part | $21.88 | $53.70 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
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 $23.99 Median $32.36 Typical High $52.48 | Professional | 52 · Reduced service | $23.99 | $32.36 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $12.88 Typical High $21.38 | Professional | 53 · Discontinued | $9.55 | $12.88 | $21.38 |
Where Florida sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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
$77.62
AK $229KY $64.57
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.