How much rates vary
Facilitymedian $1,660 · 10th to 90th $479 to $1,862Professionalmedian $457 · 10th to 90th $126 to $759
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 $389.05 Median $398.11 Typical High $602.56 | Facility | None | $389.05 | $398.11 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $389.05 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $95.50 | $97.72 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $302.00 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $199.53 | $199.53 |
AvMed Setting Facility Modifier None Typical Low $457.09 Median $602.56 Typical High $1,122.02 | Facility | None | $457.09 | $602.56 | $1,122.02 |
AvMed Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $363.08 | $416.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $1,862.09 Typical High $2,238.72 | Facility | None | $269.15 | $1,862.09 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $501.19 Typical High $977.24 | Professional | None (both parts) | $371.54 | $501.19 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $229.09 | Professional | 26 · Professional part | $81.28 | $109.65 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $380.19 Typical High $758.58 | Professional | TC · Technical part | $288.40 | $380.19 | $758.58 |
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 $389.05 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $389.05 | $457.09 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $95.50 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $295.12 | $354.81 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $93.33 | $457.09 | $831.76 |
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 $380.19 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $380.19 | $512.86 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $123.03 Typical High $229.09 | Professional | 26 · Professional part | $89.13 | $123.03 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $389.05 Typical High $741.31 | Professional | TC · Technical part | $288.40 | $389.05 | $741.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
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 $190.55 Median $199.53 Typical High $281.84 | Professional | 52 · Reduced service | $190.55 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $79.43 Typical High $112.20 | Professional | 53 · Discontinued | $77.62 | $79.43 | $112.20 |
Where Florida sits
The same service costs 3.1 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· 47th of 51
$457
AK $1,259TX $407
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.