How much rates vary
Facilitymedian $891 · 10th to 90th $204 to $3,311Professionalmedian $275 · 10th to 90th $132 to $692
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 $251.19 Median $933.25 Typical High $2,344.23 | Facility | None | $251.19 | $933.25 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $251.19 | $363.08 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $63.10 | $109.65 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $234.42 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $194.98 | $245.47 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $61.66 | $87.10 | $102.33 |
AvMed Setting Facility Modifier None Typical Low $141.25 Median $269.15 Typical High $501.19 | Facility | None | $141.25 | $269.15 | $501.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $173.78 | $223.87 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $812.83 Typical High $1,258.93 | Facility | None | $199.53 | $812.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $1,258.93 | Professional | None (both parts) | $229.09 | $426.58 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $213.80 | Professional | 26 · Professional part | $77.62 | $85.11 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $1,071.52 | Professional | TC · Technical part | $151.36 | $295.12 | $1,071.52 |
Florida Blue Setting Facility Modifier None Typical Low $977.24 Median $2,511.89 Typical High $5,370.32 | Facility | None | $977.24 | $2,511.89 | $5,370.32 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $281.84 Median $489.78 Typical High $1,148.15 | Professional | None (both parts) | $281.84 | $489.78 | $1,148.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $131.83 | $154.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $338.84 Typical High $1,000.00 | Professional | TC · Technical part | $194.98 | $338.84 | $1,000.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $93.33 Median $234.42 Typical High $562.34 | Professional | None (both parts) | $93.33 | $234.42 | $562.34 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $954.99 | Professional | None (both parts) | $257.04 | $363.08 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $724.44 | Professional | TC · Technical part | $181.97 | $251.19 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $165.96 | $165.96 | $165.96 |
6 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 $125.89 Median $125.89 Typical High $239.88 | Professional | 52 · Reduced service | $125.89 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $50.12 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | FX · Film X-ray | $199.53 | $199.53 | $346.74 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 76 · Repeat, same provider | $107.15 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | Q6 · Substitute physician, paid per time | $199.53 | $199.53 | $245.47 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | XS · Separate structure | $218.78 | $218.78 | $218.78 |
Where Florida sits
The same service costs 6.6 times more in Vermont 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
$282
VT $1,349UT $204
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.