How much rates vary
Facilitymedian $1,660 · 10th to 90th $372 to $1,778Professionalmedian $316 · 10th to 90th $245 to $550
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 $245.47 Median $269.15 Typical High $389.05 | Facility | None | $245.47 | $269.15 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $245.47 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $36.31 | $37.15 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $234.42 Typical High $331.13 | Professional | TC · Technical part | $208.93 | $234.42 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
AvMed Setting Facility Modifier None Typical Low $338.84 Median $457.09 Typical High $831.76 | Facility | None | $338.84 | $457.09 | $831.76 |
AvMed Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $269.15 | $309.03 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $954.99 Typical High $1,148.15 | Facility | None | $457.09 | $954.99 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $645.65 | Professional | None (both parts) | $245.47 | $331.13 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $42.66 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $288.40 | $562.34 |
Florida Blue Setting Facility Modifier None Typical Low $1,621.81 Median $1,659.59 Typical High $1,778.28 | Facility | None | $1,621.81 | $1,659.59 | $1,778.28 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,621.81 Median $1,659.59 Typical High $1,778.28 | Facility | 26 · Professional part | $1,621.81 | $1,659.59 | $1,778.28 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,659.59 Typical High $1,778.28 | Facility | TC · Technical part | $1,621.81 | $1,659.59 | $1,778.28 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $251.19 | $302.00 | $389.05 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $36.31 | $47.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $263.03 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $37.15 | $371.54 | $676.08 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,000.00 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $251.19 | $338.84 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $89.13 | Professional | 26 · Professional part | $34.67 | $47.86 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $295.12 | $562.34 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
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 $123.03 Median $134.90 Typical High $190.55 | Professional | 52 · Reduced service | $123.03 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $53.70 Typical High $75.86 | Professional | 53 · Discontinued | $48.98 | $53.70 | $75.86 |
Where Florida sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 49th of 51
$316
AK $813NM $275
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.