How much rates vary
Facilitymedian $39 · 10th to 90th $11 to $135Professionalmedian $19 · 10th to 90th $12 to $55
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 $10.72 Median $16.22 Typical High $21.38 | Facility | None | $10.72 | $16.22 | $21.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.72 Median $19.50 Typical High $21.38 | Professional | None (both parts) | $10.72 | $19.50 | $21.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $8.91 Typical High $9.33 | Professional | 26 · Professional part | $5.01 | $8.91 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $10.47 Typical High $12.30 | Professional | TC · Technical part | $5.89 | $10.47 | $12.30 |
AvMed Setting Facility Modifier None Typical Low $10.72 Median $15.85 Typical High $38.90 | Facility | None | $10.72 | $15.85 | $38.90 |
AvMed Setting Professional Modifier None (both parts) Typical Low $8.91 Median $10.72 Typical High $13.18 | Professional | None (both parts) | $8.91 | $10.72 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $10.23 | $10.23 | $10.23 |
Florida Blue Setting Facility Modifier None Typical Low $58.88 Median $100.00 Typical High $151.36 | Facility | None | $58.88 | $100.00 | $151.36 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $10.47 Median $14.79 Typical High $27.54 | Professional | None (both parts) | $10.47 | $14.79 | $27.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.31 Typical High $10.96 | Professional | 26 · Professional part | $4.68 | $6.31 | $10.96 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $5.75 Median $8.51 Typical High $16.60 | Professional | TC · Technical part | $5.75 | $8.51 | $16.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.33 Median $14.13 Typical High $28.18 | Professional | None (both parts) | $9.33 | $14.13 | $28.18 |
United Setting Facility Modifier None Typical Low $43.65 Median $46.77 Typical High $46.77 | Facility | None | $43.65 | $46.77 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $14.79 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $14.79 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $5.89 | $7.76 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $10.00 Typical High $19.05 | Professional | TC · Technical part | $7.08 | $10.00 | $19.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $18.62 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $18.62 | $19.05 | $19.05 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 26 · Professional part | $7.94 | $7.94 | $8.13 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $10.72 | $10.96 | $10.96 |
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 $5.37 Median $9.77 Typical High $10.72 | Professional | 52 · Reduced service | $5.37 | $9.77 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $3.89 Typical High $4.27 | Professional | 53 · Discontinued | $2.19 | $3.89 | $4.27 |
Where Florida sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 37th of 51
$19.05
WI $39.81NC $17.38
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.