How much rates vary
Facilitymedian $89 · 10th to 90th $31 to $174Professionalmedian $35 · 10th to 90th $27 to $71
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 $30.90 Median $32.36 Typical High $70.79 | Facility | None | $30.90 | $32.36 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $30.90 | $35.48 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $18.20 | Professional | 26 · Professional part | $9.12 | $10.47 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $24.55 Typical High $45.71 | Professional | TC · Technical part | $21.38 | $24.55 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $28.84 | $28.84 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $10.47 | $10.96 | $22.91 |
AvMed Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $109.65 | Facility | None | $32.36 | $47.86 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $27.54 | $33.11 | $36.31 |
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 $33.11 Median $34.67 Typical High $87.10 | Professional | None (both parts) | $33.11 | $34.67 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $26.30 | Professional | 26 · Professional part | $9.33 | $9.77 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.12 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $25.12 | $61.66 |
Florida Blue Setting Facility Modifier None Typical Low $30.90 Median $79.43 Typical High $169.82 | Facility | None | $30.90 | $79.43 | $169.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $57.54 | Professional | None (both parts) | $31.62 | $47.86 | $57.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $15.85 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $15.85 | $18.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $32.36 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $32.36 | $38.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.33 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $9.33 | $33.11 | $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 $33.11 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $33.11 | $38.90 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $11.75 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $26.92 | $53.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $8.51 | $8.51 | $8.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | TC · Technical part | $21.88 | $21.88 | $21.88 |
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 $15.49 Median $16.22 Typical High $24.55 | Professional | 52 · Reduced service | $15.49 | $16.22 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.46 Typical High $9.77 | Professional | 53 · Discontinued | $6.17 | $6.46 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $25.70 Typical High $37.15 | Professional | FX · Film X-ray | $24.55 | $25.70 | $37.15 |
Where Florida sits
The same service costs 4.1 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· 50th of 51
$35.48
AK $132UT $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.