How much rates vary
Facilitymedian $69 · 10th to 90th $25 to $148Professionalmedian $25 · 10th to 90th $20 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 $24.55 Typical High $44.67 | Professional | None (both parts) | $20.42 | $24.55 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.76 Typical High $11.75 | Professional | 26 · Professional part | $5.62 | $6.76 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.78 Typical High $33.11 | Professional | TC · Technical part | $14.79 | $17.78 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $25.12 Typical High $26.92 | Professional | None (both parts) | $23.44 | $25.12 | $26.92 |
AvMed Setting Facility Modifier None Typical Low $22.91 Median $33.88 Typical High $91.20 | Facility | None | $22.91 | $33.88 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | None (both parts) | $19.50 | $22.91 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $104.71 Typical High $177.83 | Facility | None | $52.48 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.99 Typical High $58.88 | Professional | None (both parts) | $21.88 | $23.99 | $58.88 |
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 $16.22 Median $17.38 Typical High $44.67 | Professional | TC · Technical part | $16.22 | $17.38 | $44.67 |
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 $34.67 Typical High $40.74 | Professional | None (both parts) | $22.39 | $34.67 | $40.74 |
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 $16.22 Median $25.12 Typical High $28.84 | Professional | TC · Technical part | $16.22 | $25.12 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.03 Median $30.20 Typical High $72.44 | Professional | None (both parts) | $6.03 | $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 $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 $16.22 Median $19.05 Typical High $38.02 | Professional | TC · Technical part | $16.22 | $19.05 | $38.02 |
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 $5.50 Median $5.50 Typical High $5.50 | Professional | 26 · Professional part | $5.50 | $5.50 | $5.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
4 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 $16.60 | Professional | 52 · Reduced service | $10.23 | $10.96 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $6.61 | Professional | 53 · Discontinued | $4.07 | $4.37 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.22 | $17.38 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 59 · Distinct service | $27.54 | $27.54 | $27.54 |
Where Florida sits
The same service costs 3.5 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 $87.10FL $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.