How much rates vary
Facilitymedian $63 · 10th to 90th $16 to $145Professionalmedian $29 · 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 $23.44 Median $25.12 Typical High $138.04 | Facility | None | $23.44 | $25.12 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $63.10 | Facility | TC · Technical part | $19.05 | $20.89 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $60.26 | Professional | None (both parts) | $23.44 | $30.90 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.57 Median $5.89 Typical High $11.22 | Professional | 26 · Professional part | $4.57 | $5.89 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $19.05 | $24.55 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $35.48 | Professional | None (both parts) | $25.70 | $30.90 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.89 Median $5.75 Typical High $6.61 | Professional | 26 · Professional part | $3.89 | $5.75 | $6.61 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $25.12 | $54.95 |
AvMed Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $91.20 | Facility | None | $31.62 | $46.77 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.84 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $177.83 | Facility | None | $63.10 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $61.66 | Professional | None (both parts) | $24.55 | $27.54 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.79 Median $4.90 Typical High $13.18 | Professional | 26 · Professional part | $4.79 | $4.90 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $22.39 | $51.29 |
Florida Blue Setting Facility Modifier None Typical Low $16.22 Median $42.66 Typical High $91.20 | Facility | None | $16.22 | $42.66 | $91.20 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $43.65 | Professional | None (both parts) | $23.99 | $29.51 | $43.65 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $7.94 Typical High $9.33 | Professional | 26 · Professional part | $4.90 | $7.94 | $9.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $23.44 Typical High $34.67 | Professional | TC · Technical part | $16.22 | $23.44 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $4.37 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $4.37 | $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 $22.39 Median $29.51 Typical High $60.26 | Professional | None (both parts) | $22.39 | $29.51 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $6.03 Typical High $12.02 | Professional | 26 · Professional part | $5.13 | $6.03 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $45.71 | Professional | TC · Technical part | $16.98 | $23.44 | $45.71 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | 26 · Professional part | $3.80 | $3.80 | $3.80 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $18.62 | $18.62 | $18.62 |
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 $11.75 Median $12.59 Typical High $19.05 | Professional | 52 · Reduced service | $11.75 | $12.59 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.01 Typical High $7.59 | Professional | 53 · Discontinued | $4.68 | $5.01 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.95 Typical High $28.84 | Professional | FX · Film X-ray | $19.05 | $19.95 | $28.84 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 50 · Both sides | $51.29 | $51.29 | $51.29 |
Where Florida sits
The same service costs 11.5 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
$29.51
VT $339FL $29.51
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.