How much rates vary
Facilitymedian $132 · 10th to 90th $30 to $1,047Professionalmedian $42 · 10th to 90th $30 to $78
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 $38.02 Median $39.81 Typical High $323.59 | Facility | None | $38.02 | $39.81 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $61.66 | Professional | None (both parts) | $38.02 | $39.81 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $11.48 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $28.18 | $44.67 |
AvMed Setting Facility Modifier None Typical Low $42.66 Median $63.10 Typical High $562.34 | Facility | None | $42.66 | $63.10 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $31.62 Median $41.69 Typical High $46.77 | Professional | None (both parts) | $31.62 | $41.69 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $1,047.13 | Facility | None | $104.71 | $147.91 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $100.00 | Professional | None (both parts) | $40.74 | $44.67 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.30 Typical High $32.36 | Professional | 26 · Professional part | $12.02 | $12.30 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $70.79 | Professional | TC · Technical part | $28.84 | $31.62 | $70.79 |
Florida Blue Setting Facility Modifier None Typical Low $29.51 Median $131.83 Typical High $1,047.13 | Facility | None | $29.51 | $131.83 | $1,047.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $38.90 | $50.12 | $69.18 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.62 Typical High $22.91 | Professional | 26 · Professional part | $12.30 | $18.62 | $22.91 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $32.36 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.75 Median $37.15 Typical High $75.86 | Professional | None (both parts) | $11.75 | $37.15 | $75.86 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $37.15 | $46.77 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $12.88 | $14.79 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $23.44 | $31.62 | $63.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $38.90 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $28.18 | $28.18 | $28.18 |
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 $19.05 Median $19.95 Typical High $30.90 | Professional | 52 · Reduced service | $19.05 | $19.95 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $12.30 | Professional | 53 · Discontinued | $7.59 | $7.94 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $31.62 Typical High $46.77 | Professional | FX · Film X-ray | $30.20 | $31.62 | $46.77 |
Where Florida sits
The same service costs 5.6 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
$42.66
AK $182UT $32.36
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.