How much rates vary
Facilitymedian $55 · 10th to 90th $19 to $148Professionalmedian $25 · 10th to 90th $19 to $56
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 $19.95 Median $22.91 Typical High $165.96 | Facility | None | $19.95 | $22.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $47.86 | Professional | None (both parts) | $19.95 | $25.12 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.08 Typical High $12.88 | Professional | 26 · Professional part | $5.50 | $7.08 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $18.20 Typical High $33.88 | Professional | TC · Technical part | $14.45 | $18.20 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $24.55 Typical High $28.84 | Professional | None (both parts) | $19.50 | $24.55 | $28.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $6.92 Typical High $9.77 | Professional | 26 · Professional part | $6.31 | $6.92 | $9.77 |
AvMed Setting Facility Modifier None Typical Low $22.39 Median $33.11 Typical High $109.65 | Facility | None | $22.39 | $33.11 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $25.12 | Professional | None (both parts) | $18.20 | $22.39 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $104.71 Typical High $213.80 | Facility | None | $50.12 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.91 Typical High $53.70 | Professional | None (both parts) | $21.38 | $22.91 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $15.49 | Professional | 26 · Professional part | $5.75 | $5.89 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $16.60 Typical High $39.81 | Professional | TC · Technical part | $15.85 | $16.60 | $39.81 |
Florida Blue Setting Facility Modifier None Typical Low $18.62 Median $50.12 Typical High $107.15 | Facility | None | $18.62 | $50.12 | $107.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $21.38 Median $29.51 Typical High $36.31 | Professional | None (both parts) | $21.38 | $29.51 | $36.31 |
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 $14.45 Median $19.95 Typical High $25.12 | Professional | TC · Technical part | $14.45 | $19.95 | $25.12 |
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 $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 $20.89 Median $25.70 Typical High $53.70 | Professional | None (both parts) | $20.89 | $25.70 | $53.70 |
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 $14.13 Median $17.78 Typical High $35.48 | Professional | TC · Technical part | $14.13 | $17.78 | $35.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None (both parts) | $19.05 | $19.05 | $19.05 |
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 $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
4 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 $10.00 Median $10.47 Typical High $15.85 | Professional | 52 · Reduced service | $10.00 | $10.47 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.17 Typical High $6.31 | Professional | 53 · Discontinued | $3.98 | $4.17 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.85 Median $16.98 Typical High $23.99 | Professional | FX · Film X-ray | $15.85 | $16.98 | $23.99 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $37.15 Typical High $39.81 | Professional | 50 · Both sides | $30.90 | $37.15 | $39.81 |
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
$24.55
AK $91.20FL $24.55
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.