How much rates vary
Facilitymedian $1,622 · 10th to 90th $126 to $1,660Professionalmedian $513 · 10th to 90th $224 to $933
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 $331.13 Median $457.09 Typical High $691.83 | Facility | None | $331.13 | $457.09 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $331.13 | $457.09 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $177.83 | $181.97 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $251.19 | $380.19 | $380.19 |
AvMed Setting Facility Modifier None Typical Low $512.86 Median $691.83 Typical High $1,258.93 | Facility | None | $512.86 | $691.83 | $1,258.93 |
AvMed Setting Professional Modifier None (both parts) Typical Low $173.78 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $173.78 | $436.52 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,238.72 | Facility | None | $1,230.27 | $1,862.09 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $562.34 Typical High $1,148.15 | Professional | None (both parts) | $457.09 | $562.34 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $208.93 Typical High $436.52 | Professional | 26 · Professional part | $154.88 | $208.93 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $354.81 | $724.44 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $1,659.59 Typical High $1,659.59 | Facility | None | $70.79 | $1,659.59 | $1,659.59 |
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 $239.88 Median $549.54 Typical High $758.58 | Professional | None (both parts) | $239.88 | $549.54 | $758.58 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $190.55 Typical High $269.15 | Professional | 26 · Professional part | $125.89 | $190.55 | $269.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $380.19 Typical High $512.86 | Professional | TC · Technical part | $72.44 | $380.19 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $186.21 Median $549.54 Typical High $1,000.00 | Professional | None (both parts) | $186.21 | $549.54 | $1,000.00 |
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 $281.84 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $281.84 | $524.81 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $229.09 Typical High $436.52 | Professional | 26 · Professional part | $169.82 | $229.09 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $323.59 Typical High $707.95 | Professional | TC · Technical part | $158.49 | $323.59 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
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 $165.96 Median $229.09 Typical High $338.84 | Professional | 52 · Reduced service | $165.96 | $229.09 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $93.33 Typical High $134.90 | Professional | 53 · Discontinued | $66.07 | $93.33 | $134.90 |
Where Florida sits
The same service costs 3.2 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· 45th of 51
$513
AK $1,445KY $447
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.