How much rates vary
Facilitymedian $100 · 10th to 90th $35 to $229Professionalmedian $40 · 10th to 90th $30 to $78
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 $33.11 Median $36.31 Typical High $107.15 | Facility | None | $33.11 | $36.31 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $33.11 | $44.67 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $12.02 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $33.88 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $33.88 | $42.66 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $10.47 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $34.67 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $34.67 | $54.95 |
AvMed Setting Facility Modifier None Typical Low $40.74 Median $58.88 Typical High $109.65 | Facility | None | $40.74 | $58.88 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $34.67 | $40.74 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $165.96 Typical High $234.42 | Facility | None | $75.86 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.02 Typical High $95.50 | Professional | None (both parts) | $36.31 | $38.02 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $28.18 | Professional | 26 · Professional part | $9.12 | $10.47 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $28.84 Typical High $70.79 | Professional | TC · Technical part | $26.92 | $28.84 | $70.79 |
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 $37.15 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $37.15 | $53.70 | $64.57 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $17.78 | $20.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $23.99 | $35.48 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $34.67 Typical High $75.86 | Professional | None (both parts) | $8.51 | $34.67 | $75.86 |
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 $35.48 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $35.48 | $43.65 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $10.47 | $12.88 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $30.90 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $7.76 | $7.76 | $7.76 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
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 $16.60 Median $17.78 Typical High $26.92 | Professional | 52 · Reduced service | $16.60 | $17.78 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $10.72 | Professional | 53 · Discontinued | $6.61 | $7.08 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $28.18 Typical High $41.69 | Professional | FX · Film X-ray | $26.92 | $28.18 | $41.69 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | Q6 · Substitute physician, paid per time | $42.66 | $42.66 | $42.66 |
Where Florida sits
The same service costs 4.8 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
$39.81
AK $158UT $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.