How much rates vary
Facilitymedian $107 · 10th to 90th $49 to $245Professionalmedian $41 · 10th to 90th $25 to $55
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 $40.74 Median $47.86 Typical High $204.17 | Facility | None | $40.74 | $47.86 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $20.89 | Facility | 26 · Professional part | $12.59 | $13.80 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $114.82 | Facility | TC · Technical part | $28.18 | $33.88 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $38.90 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $11.22 | $13.49 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $38.02 | Professional | TC · Technical part | $26.92 | $29.51 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $51.29 | Professional | None (both parts) | $26.30 | $36.31 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $12.02 | Professional | 26 · Professional part | $8.91 | $10.23 | $12.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $43.65 | Professional | TC · Technical part | $26.30 | $30.20 | $43.65 |
BCBS Setting Facility Modifier None Typical Low $56.23 Median $117.49 Typical High $275.42 | Facility | None | $56.23 | $117.49 | $275.42 |
BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $48.98 Typical High $51.29 | Professional | None (both parts) | $45.71 | $48.98 | $51.29 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $13.80 | $16.22 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $35.48 | Professional | TC · Technical part | $33.11 | $34.67 | $35.48 |
Christus Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $10.23 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $123.03 | Facility | None | $56.23 | $79.43 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $25.12 Typical High $56.23 | Professional | None (both parts) | $22.39 | $25.12 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $17.78 | Professional | 26 · Professional part | $6.46 | $7.08 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $18.20 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $18.20 | $40.74 |
United Setting Facility Modifier None Typical Low $120.23 Median $158.49 Typical High $288.40 | Facility | None | $120.23 | $158.49 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $26.92 | $36.31 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $8.91 | $10.96 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $37.15 | Professional | TC · Technical part | $16.98 | $25.12 | $37.15 |
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 Facility Modifier 52 · Reduced service Typical Low $14.13 Median $20.89 Typical High $57.54 | Facility | 52 · Reduced service | $14.13 | $20.89 | $57.54 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.62 Median $8.51 Typical High $22.91 | Facility | 53 · Discontinued | $5.62 | $8.51 | $22.91 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $22.39 Median $32.36 Typical High $91.20 | Facility | FX · Film X-ray | $22.39 | $32.36 | $91.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $20.42 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $8.13 | $8.32 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $33.11 Typical High $36.31 | Professional | FX · Film X-ray | $32.36 | $33.11 | $36.31 |
Where Louisiana 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.
Louisiana· 32nd of 51
$43.65
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.