How much rates vary
Facilitymedian $85 · 10th to 90th $25 to $155Professionalmedian $29 · 10th to 90th $23 to $63
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 $23.99 Median $25.70 Typical High $323.59 | Facility | None | $23.99 | $25.70 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $23.99 | $25.70 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.03 Typical High $9.12 | Professional | 26 · Professional part | $5.89 | $6.03 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $18.20 | $19.50 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
AvMed Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $109.65 | Facility | None | $28.84 | $42.66 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $31.62 | Professional | None (both parts) | $23.44 | $28.84 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $138.04 Typical High $234.42 | Facility | None | $81.28 | $138.04 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $67.61 | Professional | None (both parts) | $26.30 | $28.18 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.31 Typical High $17.38 | Professional | 26 · Professional part | $6.17 | $6.31 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.38 Typical High $52.48 | Professional | TC · Technical part | $20.42 | $21.38 | $52.48 |
Florida Blue Setting Facility Modifier None Typical Low $24.55 Median $63.10 Typical High $134.90 | Facility | None | $24.55 | $63.10 | $134.90 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $26.30 | $35.48 | $45.71 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.23 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $10.23 | $12.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $33.88 | Professional | TC · Technical part | $19.95 | $25.12 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.31 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $6.31 | $30.20 | $74.13 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $26.30 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.76 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $7.76 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $22.39 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 26 · Professional part | $5.75 | $5.75 | $5.75 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
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 $12.02 Median $12.88 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $12.88 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.13 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $5.13 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $20.42 Typical High $30.20 | Professional | FX · Film X-ray | $19.50 | $20.42 | $30.20 |
Where Florida sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 51st of 51
$28.84
AK $112FL $28.84
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.