How much rates vary
Facilitymedian $105 · 10th to 90th $32 to $229Professionalmedian $35 · 10th to 90th $27 to $72
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 $22.39 Median $30.20 Typical High $323.59 | Facility | None | $22.39 | $30.20 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $28.18 | $35.48 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $11.75 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $19.50 | $23.99 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $36.31 | Professional | None (both parts) | $26.92 | $31.62 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $15.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $15.49 |
AvMed Setting Facility Modifier None Typical Low $29.51 Median $43.65 Typical High $109.65 | Facility | None | $29.51 | $43.65 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $36.31 | Professional | None (both parts) | $25.12 | $31.62 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $165.96 Typical High $234.42 | Facility | None | $69.18 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $87.10 | Professional | None (both parts) | $30.20 | $35.48 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $30.20 | Professional | 26 · Professional part | $9.33 | $10.96 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.91 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $22.91 | $60.26 |
Florida Blue Setting Facility Modifier None Typical Low $35.48 Median $91.20 Typical High $194.98 | Facility | None | $35.48 | $91.20 | $194.98 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $32.36 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $32.36 | $53.70 | $60.26 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $9.55 | $18.62 | $23.44 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $33.88 Typical High $39.81 | Professional | TC · Technical part | $21.38 | $33.88 | $39.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.72 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $10.72 | $33.88 | $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 $33.88 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $33.88 | $39.81 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $10.96 | $13.80 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $26.30 | $51.29 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $9.77 | $9.77 | $9.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | TC · Technical part | $22.91 | $22.91 | $22.91 |
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 $14.13 Median $15.14 Typical High $22.91 | Professional | 52 · Reduced service | $14.13 | $15.14 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.03 Typical High $9.33 | Professional | 53 · Discontinued | $5.75 | $6.03 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.99 Typical High $36.31 | Professional | FX · Film X-ray | $22.91 | $23.99 | $36.31 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | Q6 · Substitute physician, paid per time | $33.88 | $33.88 | $33.88 |
Where Florida sits
The same service costs 4.0 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 $33.11
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.