How much rates vary
Facilitymedian $68 · 10th to 90th $26 to $158Professionalmedian $31 · 10th to 90th $25 to $65
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 $25.12 Median $28.84 Typical High $165.96 | Facility | None | $25.12 | $28.84 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $57.54 | Facility | TC · Technical part | $18.20 | $20.89 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $25.12 | $34.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $7.24 | $9.77 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $18.20 | $25.12 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $36.31 | Professional | None (both parts) | $25.12 | $31.62 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $14.45 | Professional | 26 · Professional part | $6.17 | $8.51 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $21.38 | $22.91 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $28.84 Median $41.69 Typical High $109.65 | Facility | None | $28.84 | $41.69 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $31.62 | Professional | None (both parts) | $24.55 | $28.84 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $104.71 Typical High $213.80 | Facility | None | $60.26 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $28.84 Typical High $70.79 | Professional | None (both parts) | $27.54 | $28.84 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $21.38 | Professional | 26 · Professional part | $7.59 | $7.76 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $20.89 Typical High $52.48 | Professional | TC · Technical part | $19.95 | $20.89 | $52.48 |
Florida Blue Setting Facility Modifier None Typical Low $26.30 Median $67.61 Typical High $144.54 | Facility | None | $26.30 | $67.61 | $144.54 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $27.54 Median $39.81 Typical High $48.98 | Professional | None (both parts) | $27.54 | $39.81 | $48.98 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $7.94 | $12.88 | $14.79 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.92 Typical High $33.11 | Professional | TC · Technical part | $19.05 | $26.92 | $33.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $7.41 | $30.20 | $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 $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.55 Typical High $19.05 | Professional | 26 · Professional part | $8.32 | $9.55 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $18.62 | $22.91 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 26 · Professional part | $6.61 | $6.61 | $6.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $18.62 | $18.62 | $18.62 |
5 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 $12.59 Median $13.49 Typical High $19.95 | Professional | 52 · Reduced service | $12.59 | $13.49 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $8.13 | Professional | 53 · Discontinued | $5.01 | $5.37 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $21.38 Typical High $30.90 | Professional | FX · Film X-ray | $19.95 | $21.38 | $30.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $26.92 Median $31.62 Typical High $31.62 | Professional | 59 · Distinct service | $26.92 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $25.12 Median $26.92 Typical High $31.62 | Professional | Q6 · Substitute physician, paid per time | $25.12 | $26.92 | $31.62 |
Where Florida sits
The same service costs 12.6 times more in Vermont 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
$30.90
VT $389FL $30.90
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.