How much rates vary
Facilitymedian $562 · 10th to 90th $155 to $1,995Professionalmedian $229 · 10th to 90th $85 to $490
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 $1,174.90 Typical High $2,398.83 | Facility | None | $251.19 | $1,174.90 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $251.19 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $74.13 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $141.25 | $177.83 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $53.70 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $380.19 | Facility | None | $107.15 | $204.17 | $380.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $131.83 | $169.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $602.56 Typical High $758.58 | Facility | None | $134.90 | $602.56 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $331.13 Typical High $741.31 | Professional | None (both parts) | $162.18 | $331.13 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $54.95 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $239.88 Typical High $588.84 | Professional | TC · Technical part | $114.82 | $239.88 | $588.84 |
Florida Blue Setting Facility Modifier None Typical Low $426.58 Median $1,122.02 Typical High $2,398.83 | Facility | None | $426.58 | $1,122.02 | $2,398.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $263.03 | $467.74 | $549.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $72.44 | $100.00 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $371.54 | $467.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $173.78 Typical High $407.38 | Professional | None (both parts) | $60.26 | $173.78 | $407.38 |
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 $190.55 Median $281.84 Typical High $575.44 | Professional | None (both parts) | $190.55 | $281.84 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $61.66 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $213.80 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
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 $125.89 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $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 |
Where Florida sits
The same service costs 6.0 times more in Wyoming 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
$234
WY $912UT $151
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.