How much rates vary
Facilitymedian $112 · 10th to 90th $47 to $234Professionalmedian $50 · 10th to 90th $35 to $107
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 $38.90 Median $41.69 Typical High $107.15 | Facility | None | $38.90 | $41.69 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $38.90 | $51.29 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $9.77 | $12.59 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $29.51 | $38.02 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $38.02 | $47.86 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $11.75 | $18.20 |
AvMed Setting Facility Modifier None Typical Low $45.71 Median $67.61 Typical High $109.65 | Facility | None | $45.71 | $67.61 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $38.90 | $47.86 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $165.96 Typical High $234.42 | Facility | None | $112.20 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $120.23 | Professional | None (both parts) | $42.66 | $48.98 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.48 Typical High $31.62 | Professional | 26 · Professional part | $10.47 | $11.48 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $34.67 Typical High $89.13 | Professional | TC · Technical part | $31.62 | $34.67 | $89.13 |
Florida Blue Setting Facility Modifier None Typical Low $46.77 Median $120.23 Typical High $257.04 | Facility | None | $46.77 | $120.23 | $257.04 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $45.71 Median $69.18 Typical High $85.11 | Professional | None (both parts) | $45.71 | $69.18 | $85.11 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $19.50 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $19.50 | $22.39 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $58.88 | Professional | TC · Technical part | $33.11 | $47.86 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $54.95 Typical High $131.83 | Professional | None (both parts) | $15.49 | $54.95 | $131.83 |
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 $43.65 Median $54.95 Typical High $102.33 | Professional | None (both parts) | $43.65 | $54.95 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $14.45 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $39.81 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 26 · Professional part | $10.23 | $10.23 | $10.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
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 $19.50 Median $20.89 Typical High $31.62 | Professional | 52 · Reduced service | $19.50 | $20.89 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $12.59 | Professional | 53 · Discontinued | $7.76 | $8.32 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $33.11 Typical High $50.12 | Professional | FX · Film X-ray | $31.62 | $33.11 | $50.12 |
Where Florida sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$50.12
AK $182TX $50.12
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.