How much rates vary
Facilitymedian $63 · 10th to 90th $20 to $148Professionalmedian $29 · 10th to 90th $22 to $65
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 $123.03 | Facility | None | $23.99 | $25.70 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $23.99 | $28.84 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.92 Typical High $13.18 | Professional | 26 · Professional part | $5.62 | $6.92 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $21.88 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $23.44 | $30.90 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $7.08 Typical High $12.59 | Professional | 26 · Professional part | $4.79 | $7.08 | $12.59 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $40.74 Typical High $91.20 | Facility | None | $28.18 | $40.74 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.39 Median $27.54 Typical High $30.90 | Professional | None (both parts) | $22.39 | $27.54 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $104.71 Typical High $177.83 | Facility | None | $60.26 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $27.54 Typical High $64.57 | Professional | None (both parts) | $25.70 | $27.54 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.17 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $6.17 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $21.38 | $50.12 |
Florida Blue Setting Facility Modifier None Typical Low $19.95 Median $52.48 Typical High $112.20 | Facility | None | $19.95 | $52.48 | $112.20 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $25.70 | $31.62 | $42.66 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $6.31 | $9.77 | $11.75 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $22.39 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.75 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $5.75 | $30.20 | $74.13 |
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 $23.99 Median $30.20 Typical High $60.26 | Professional | None (both parts) | $23.99 | $30.20 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $7.41 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $22.39 | $44.67 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 26 · Professional part | $5.25 | $5.25 | $5.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | TC · Technical part | $18.20 | $18.20 | $18.20 |
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 $29.51 | Professional | FX · Film X-ray | $19.50 | $20.42 | $29.51 |
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.