How much rates vary
Facilitymedian $60 · 10th to 90th $20 to $148Professionalmedian $28 · 10th to 90th $22 to $62
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 $22.91 Median $25.12 Typical High $74.13 | Facility | None | $22.91 | $25.12 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $19.95 Typical High $56.23 | Facility | TC · Technical part | $17.38 | $19.95 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $22.91 | $30.20 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.41 Typical High $14.45 | Professional | 26 · Professional part | $5.62 | $7.41 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $22.39 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $37.15 | Professional | None (both parts) | $23.44 | $29.51 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $6.92 Typical High $11.75 | Professional | 26 · Professional part | $5.01 | $6.92 | $11.75 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $19.05 | $23.99 | $37.15 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $41.69 Typical High $91.20 | Facility | None | $28.18 | $41.69 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.39 Median $26.30 Typical High $30.90 | Professional | None (both parts) | $22.39 | $26.30 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $104.71 Typical High $177.83 | Facility | None | $58.88 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.92 Typical High $63.10 | Professional | None (both parts) | $25.12 | $26.92 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.17 Typical High $16.60 | Professional | 26 · Professional part | $5.89 | $6.17 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.42 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $20.42 | $47.86 |
Florida Blue Setting Facility Modifier None Typical Low $19.95 Median $53.70 Typical High $114.82 | Facility | None | $19.95 | $53.70 | $114.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $24.55 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $24.55 | $31.62 | $42.66 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $6.46 | $9.77 | $11.75 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $30.90 | Professional | TC · Technical part | $17.38 | $21.38 | $30.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.62 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $5.62 | $30.20 | $74.13 |
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 $23.99 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $23.99 | $29.51 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $7.41 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $21.38 | $42.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None (both parts) | $22.39 | $22.39 | $22.39 |
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 $16.98 Median $16.98 Typical High $16.98 | Professional | TC · Technical part | $16.98 | $16.98 | $16.98 |
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 $11.48 Median $12.30 Typical High $18.62 | Professional | 52 · Reduced service | $11.48 | $12.30 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.90 Typical High $7.41 | Professional | 53 · Discontinued | $4.57 | $4.90 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $19.50 Typical High $28.18 | Professional | FX · Film X-ray | $18.62 | $19.50 | $28.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $44.67 Typical High $54.95 | Professional | 50 · Both sides | $37.15 | $44.67 | $54.95 |
Where Florida sits
The same service costs 13.5 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
$28.84
VT $389FL $28.84
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.