How much rates vary
Facilitymedian $91 · 10th to 90th $35 to $195Professionalmedian $34 · 10th to 90th $27 to $69
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 $28.18 Median $28.18 Typical High $323.59 | Facility | None | $28.18 | $28.18 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $9.12 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $20.42 | $23.99 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $29.51 | $30.90 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $16.98 | Professional | 26 · Professional part | $6.46 | $9.12 | $16.98 |
AvMed Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $109.65 | Facility | None | $31.62 | $46.77 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $26.92 | $33.11 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $213.80 | Facility | None | $69.18 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $81.28 | Professional | None (both parts) | $30.20 | $33.11 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.51 Typical High $21.38 | Professional | 26 · Professional part | $8.32 | $8.51 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.44 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $23.44 | $63.10 |
Florida Blue Setting Facility Modifier None Typical Low $36.31 Median $93.33 Typical High $199.53 | Facility | None | $36.31 | $93.33 | $199.53 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $30.20 | $47.86 | $54.95 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $12.59 | $14.79 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $34.67 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $31.62 Typical High $74.13 | Professional | None (both parts) | $7.94 | $31.62 | $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 $31.62 Median $37.15 Typical High $70.79 | Professional | None (both parts) | $31.62 | $37.15 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $10.23 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $27.54 | $52.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 26 · Professional part | $7.24 | $7.24 | $7.24 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
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 $14.13 Median $14.79 Typical High $22.39 | Professional | 52 · Reduced service | $14.13 | $14.79 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $9.12 | Professional | 53 · Discontinued | $5.62 | $6.03 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $23.99 Typical High $36.31 | Professional | FX · Film X-ray | $22.39 | $23.99 | $36.31 |
Where Florida sits
The same service costs 3.9 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
$33.88
AK $129UT $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.