How much rates vary
Facilitymedian $240 · 10th to 90th $54 to $1,479Professionalmedian $126 · 10th to 90th $78 to $263
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 $107.15 Median $114.82 Typical High $323.59 | Facility | None | $107.15 | $114.82 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $107.15 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $70.79 | $75.86 | $112.20 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $812.83 | Facility | None | $100.00 | $147.91 | $812.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $81.28 | $100.00 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $1,096.48 Typical High $1,548.82 | Facility | None | $288.40 | $1,096.48 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $114.82 | $120.23 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $112.20 | Professional | 26 · Professional part | $39.81 | $41.69 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $69.18 | $79.43 | $173.78 |
Florida Blue Setting Facility Modifier None Typical Low $53.70 Median $141.25 Typical High $295.12 | Facility | None | $53.70 | $141.25 | $295.12 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $109.65 | $144.54 | $204.17 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $39.81 | $67.61 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $83.18 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $44.67 | $138.04 | $323.59 |
United Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Facility | None | $912.01 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $104.71 | $134.90 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $51.29 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $165.96 | Professional | TC · Technical part | $61.66 | $85.11 | $165.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $42.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $81.28 | $81.28 | $81.28 |
3 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 $53.70 Median $57.54 Typical High $85.11 | Professional | 52 · Reduced service | $53.70 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $22.91 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $91.20 Typical High $128.82 | Professional | FX · Film X-ray | $87.10 | $91.20 | $128.82 |
Where Florida sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$126
AK $513UT $120
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.