How much rates vary
Facilitymedian $214 · 10th to 90th $74 to $447Professionalmedian $78 · 10th to 90th $49 to $151
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 $70.79 Median $74.13 Typical High $323.59 | Facility | None | $70.79 | $74.13 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $70.79 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $27.54 | $28.18 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $45.71 Typical High $66.07 | Professional | TC · Technical part | $42.66 | $45.71 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 26 · Professional part | $46.77 | $46.77 | $46.77 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $100.00 Typical High $245.47 | Facility | None | $67.61 | $100.00 | $245.47 |
AvMed Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $74.13 | Professional | None (both parts) | $53.70 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $524.81 | Facility | None | $147.91 | $295.12 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $74.13 | $77.62 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $29.51 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $47.86 | $123.03 |
Florida Blue Setting Facility Modifier None Typical Low $83.18 Median $213.80 Typical High $446.68 | Facility | None | $83.18 | $213.80 | $446.68 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $75.86 | $117.49 | $138.04 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $47.86 | $54.95 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $85.11 | Professional | TC · Technical part | $40.74 | $61.66 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $36.31 | $74.13 | $151.36 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $69.18 | $89.13 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $31.62 | $36.31 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $53.70 | $104.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
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 $35.48 Median $37.15 Typical High $52.48 | Professional | 52 · Reduced service | $35.48 | $37.15 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $21.38 | Professional | 53 · Discontinued | $14.13 | $14.79 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $58.88 Typical High $83.18 | Professional | FX · Film X-ray | $56.23 | $58.88 | $83.18 |
Where Florida sits
The same service costs 4.4 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· 49th of 51
$77.62
AK $324UT $74.13
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.