How much rates vary
Facilitymedian $490 · 10th to 90th $126 to $2,188Professionalmedian $186 · 10th to 90th $87 to $437
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 $251.19 Median $891.25 Typical High $2,344.23 | Facility | None | $251.19 | $891.25 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $218.78 | $251.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $79.43 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $144.54 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $120.23 | $151.36 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $54.95 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $83.18 Median $158.49 Typical High $288.40 | Facility | None | $83.18 | $158.49 | $288.40 |
AvMed Setting Professional Modifier None (both parts) Typical Low $100.00 Median $128.82 Typical High $354.81 | Professional | None (both parts) | $100.00 | $128.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $537.03 Typical High $758.58 | Facility | None | $125.89 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $134.90 | $281.84 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $56.23 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $87.10 | $190.55 | $575.44 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $2,691.53 | Facility | None | $489.78 | $1,258.93 | $2,691.53 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $169.82 | $288.40 | $588.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $83.18 | $102.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $501.19 | Professional | TC · Technical part | $112.20 | $190.55 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $60.26 | $147.91 | $331.13 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $537.03 | Professional | None (both parts) | $154.88 | $213.80 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $53.70 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $407.38 | Professional | TC · Technical part | $102.33 | $144.54 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | TC · Technical part | $95.50 | $95.50 | $95.50 |
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 Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $120.23 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $47.86 | $50.12 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $338.84 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 59 · Distinct service | $151.36 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier Q5 · Substitute physician, reciprocal Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | Q5 · Substitute physician, reciprocal | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | Q6 · Substitute physician, paid per time | $120.23 | $120.23 | $151.36 |
Where Florida sits
The same service costs 24.0 times more in Vermont 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· 49th of 51
$186
VT $2,951UT $123
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.