How much rates vary
Facilitymedian $74 · 10th to 90th $20 to $148Professionalmedian $25 · 10th to 90th $19 to $60
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 $20.89 Median $22.39 Typical High $151.36 | Facility | None | $20.89 | $22.39 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $23.99 Typical High $42.66 | Professional | None (both parts) | $20.89 | $23.99 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.61 Typical High $11.22 | Professional | 26 · Professional part | $5.50 | $6.61 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $32.36 | Professional | TC · Technical part | $15.49 | $17.78 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $24.55 Typical High $28.84 | Professional | None (both parts) | $22.39 | $24.55 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $8.13 | Professional | 26 · Professional part | $6.76 | $6.76 | $8.13 |
AvMed Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $109.65 | Facility | None | $24.55 | $36.31 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $19.50 Median $23.99 Typical High $26.92 | Professional | None (both parts) | $19.50 | $23.99 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $134.90 Typical High $234.42 | Facility | None | $75.86 | $134.90 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.99 Typical High $57.54 | Professional | None (both parts) | $22.39 | $23.99 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $16.22 | Professional | 26 · Professional part | $5.75 | $5.89 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $17.78 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $17.78 | $42.66 |
Florida Blue Setting Facility Modifier None Typical Low $19.95 Median $52.48 Typical High $112.20 | Facility | None | $19.95 | $52.48 | $112.20 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.90 Typical High $38.90 | Professional | None (both parts) | $22.91 | $30.90 | $38.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $6.31 | $9.77 | $11.75 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.38 Typical High $27.54 | Professional | TC · Technical part | $15.85 | $21.38 | $27.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.50 Median $28.84 Typical High $72.44 | Professional | None (both parts) | $5.50 | $28.84 | $72.44 |
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 $22.39 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $22.39 | $27.54 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $14.79 | Professional | 26 · Professional part | $6.46 | $7.41 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $19.05 Typical High $38.02 | Professional | TC · Technical part | $15.49 | $19.05 | $38.02 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None (both parts) | $20.42 | $20.42 | $20.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
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 $10.47 Median $10.96 Typical High $16.60 | Professional | 52 · Reduced service | $10.47 | $10.96 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.47 Typical High $6.61 | Professional | 53 · Discontinued | $4.17 | $4.47 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $17.78 Typical High $25.70 | Professional | FX · Film X-ray | $16.60 | $17.78 | $25.70 |
Where Florida sits
The same service costs 3.7 times more in Alaska 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
$25.70
AK $95.50FL $25.70
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.