How much rates vary
Facilitymedian $69 · 10th to 90th $23 to $148Professionalmedian $25 · 10th to 90th $19 to $60
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 $20.42 Median $21.88 Typical High $323.59 | Facility | None | $20.42 | $21.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $22.91 Typical High $40.74 | Professional | None (both parts) | $20.42 | $22.91 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.41 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $7.41 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.14 Typical High $27.54 | Professional | TC · Technical part | $13.80 | $15.14 | $27.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $21.88 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $9.33 | Professional | 26 · Professional part | $8.51 | $8.51 | $9.33 |
AvMed Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $91.20 | Facility | None | $21.38 | $31.62 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $24.55 | Professional | None (both parts) | $18.20 | $22.39 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $104.71 Typical High $177.83 | Facility | None | $48.98 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.99 Typical High $58.88 | Professional | None (both parts) | $22.39 | $23.99 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $18.62 | Professional | 26 · Professional part | $6.92 | $7.08 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.22 Typical High $41.69 | Professional | TC · Technical part | $15.14 | $16.22 | $41.69 |
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 $22.39 Median $35.48 Typical High $39.81 | Professional | None (both parts) | $22.39 | $35.48 | $39.81 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.96 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $10.96 | $13.80 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $23.44 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $23.44 | $27.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.24 Median $30.20 Typical High $72.44 | Professional | None (both parts) | $7.24 | $30.20 | $72.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $54.95 | Professional | None (both parts) | $22.91 | $26.92 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $8.71 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.20 Typical High $36.31 | Professional | TC · Technical part | $14.79 | $18.20 | $36.31 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | TC · Technical part | $14.79 | $14.79 | $14.79 |
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 $10.23 Median $10.96 Typical High $16.22 | Professional | 52 · Reduced service | $10.23 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $6.46 | Professional | 53 · Discontinued | $4.07 | $4.37 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.60 | $17.38 | $25.12 |
Where Florida sits
The same service costs 3.8 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
$25.12
AK $95.50FL $25.12
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.