How much rates vary
Facilitymedian $72 · 10th to 90th $25 to $148Professionalmedian $27 · 10th to 90th $20 to $62
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 $21.38 Median $22.39 Typical High $58.88 | Facility | None | $21.38 | $22.39 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $21.38 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $14.79 | Professional | 26 · Professional part | $6.31 | $7.94 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.14 | $19.50 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $32.36 | Professional | None (both parts) | $22.91 | $26.92 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.24 Typical High $12.59 | Professional | 26 · Professional part | $5.37 | $7.24 | $12.59 |
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 $23.99 Typical High $26.30 | Professional | None (both parts) | $19.50 | $23.99 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $177.83 | Facility | None | $50.12 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $24.55 Typical High $61.66 | Professional | None (both parts) | $22.91 | $24.55 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.92 Typical High $18.62 | Professional | 26 · Professional part | $6.61 | $6.92 | $18.62 |
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 $25.70 Median $66.07 Typical High $141.25 | Facility | None | $25.70 | $66.07 | $141.25 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $22.39 Median $36.31 Typical High $41.69 | Professional | None (both parts) | $22.39 | $36.31 | $41.69 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $11.48 | $13.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $23.99 Typical High $28.84 | Professional | TC · Technical part | $15.49 | $23.99 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.61 Median $30.20 Typical High $72.44 | Professional | None (both parts) | $6.61 | $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 $23.99 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $23.99 | $28.84 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $7.41 | $8.71 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $15.85 | $19.50 | $38.90 |
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 $6.03 Median $6.03 Typical High $6.03 | Professional | 26 · Professional part | $6.03 | $6.03 | $6.03 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | TC · Technical part | $15.14 | $15.14 | $15.14 |
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 $10.72 Median $11.22 Typical High $16.98 | Professional | 52 · Reduced service | $10.72 | $11.22 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.57 Typical High $6.76 | Professional | 53 · Discontinued | $4.27 | $4.57 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.98 Median $18.20 Typical High $26.30 | Professional | FX · Film X-ray | $16.98 | $18.20 | $26.30 |
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
$26.92
AK $95.50FL $26.92
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.