How much rates vary
Facilitymedian $55 · 10th to 90th $15 to $145Professionalmedian $17 · 10th to 90th $13 to $33
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 $13.80 Median $13.80 Typical High $32.36 | Facility | None | $13.80 | $13.80 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.80 Median $17.78 Typical High $33.11 | Professional | None (both parts) | $13.80 | $17.78 | $33.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $6.17 Typical High $10.96 | Professional | 26 · Professional part | $5.01 | $6.17 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $11.75 Typical High $22.39 | Professional | TC · Technical part | $8.91 | $11.75 | $22.39 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.79 Median $16.98 Typical High $18.20 | Professional | None (both parts) | $14.79 | $16.98 | $18.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.17 Typical High $6.31 | Professional | 26 · Professional part | $5.89 | $6.17 | $6.31 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $9.55 Typical High $24.55 | Professional | TC · Technical part | $9.55 | $9.55 | $24.55 |
AvMed Setting Facility Modifier None Typical Low $13.80 Median $20.42 Typical High $91.20 | Facility | None | $13.80 | $20.42 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $11.75 Median $14.79 Typical High $18.20 | Professional | None (both parts) | $11.75 | $14.79 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $177.83 | Facility | None | $37.15 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.79 Median $17.38 Typical High $42.66 | Professional | None (both parts) | $14.79 | $17.38 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.37 Typical High $14.79 | Professional | 26 · Professional part | $5.25 | $5.37 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $11.22 Typical High $29.51 | Professional | TC · Technical part | $9.77 | $11.22 | $29.51 |
Florida Blue Setting Facility Modifier None Typical Low $17.78 Median $47.86 Typical High $102.33 | Facility | None | $17.78 | $47.86 | $102.33 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $16.22 Median $27.54 Typical High $30.90 | Professional | None (both parts) | $16.22 | $27.54 | $30.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.71 Typical High $10.72 | Professional | 26 · Professional part | $5.62 | $8.71 | $10.72 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $17.78 Typical High $20.89 | Professional | TC · Technical part | $10.47 | $17.78 | $20.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.75 Median $12.02 Typical High $20.89 | Professional | None (both parts) | $5.75 | $12.02 | $20.89 |
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 $16.60 Median $19.95 Typical High $40.74 | Professional | None (both parts) | $16.60 | $19.95 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.61 Typical High $13.18 | Professional | 26 · Professional part | $5.75 | $6.61 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $12.88 Typical High $24.55 | Professional | TC · Technical part | $10.47 | $12.88 | $24.55 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None (both parts) | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.62 Typical High $5.62 | Professional | 26 · Professional part | $5.62 | $5.62 | $5.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | TC · Technical part | $10.96 | $10.96 | $10.96 |
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 $6.92 Median $7.41 Typical High $11.22 | Professional | 52 · Reduced service | $6.92 | $7.41 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.95 Typical High $4.47 | Professional | 53 · Discontinued | $2.75 | $2.95 | $4.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $10.96 Median $11.75 Typical High $17.38 | Professional | FX · Film X-ray | $10.96 | $11.75 | $17.38 |
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
$17.38
AK $64.57FL $17.38
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.