How much rates vary
Facilitymedian $58 · 10th to 90th $20 to $145Professionalmedian $26 · 10th to 90th $19 to $58
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 $20.42 Median $21.88 Typical High $64.57 | Facility | None | $20.42 | $21.88 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $20.42 | $26.30 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $5.50 | $7.08 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $15.14 | $19.05 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $32.36 | Professional | None (both parts) | $20.89 | $26.30 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.46 Typical High $10.96 | Professional | 26 · Professional part | $4.68 | $6.46 | $10.96 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $21.88 | Professional | TC · Technical part | $19.50 | $19.50 | $21.88 |
AvMed Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $91.20 | Facility | None | $24.55 | $36.31 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $19.50 Median $23.44 Typical High $26.92 | Professional | None (both parts) | $19.50 | $23.44 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $177.83 | Facility | None | $50.12 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.44 Typical High $56.23 | Professional | None (both parts) | $21.88 | $23.44 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $5.89 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $17.38 | $41.69 |
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 $22.39 Median $30.90 Typical High $38.02 | Professional | None (both parts) | $22.39 | $30.90 | $38.02 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $11.22 | Professional | 26 · Professional part | $6.03 | $9.33 | $11.22 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $26.92 | Professional | TC · Technical part | $15.49 | $21.38 | $26.92 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.25 Median $28.84 Typical High $72.44 | Professional | None (both parts) | $5.25 | $28.84 | $72.44 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.30 Typical High $54.95 | Professional | None (both parts) | $21.38 | $26.30 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.24 Typical High $14.45 | Professional | 26 · Professional part | $6.17 | $7.24 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $18.62 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $18.62 | $37.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $4.79 Typical High $4.79 | Professional | 26 · Professional part | $4.79 | $4.79 | $4.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | TC · Technical part | $15.14 | $15.14 | $15.14 |
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 $10.23 Median $10.96 Typical High $16.22 | Professional | 52 · Reduced service | $10.23 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $6.46 | Professional | 53 · Discontinued | $4.07 | $4.37 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.22 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.22 | $17.38 | $25.12 |
Where Florida sits
The same service costs 6.0 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.
Florida· 51st of 51
$25.70
VT $155FL $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.