How much rates vary
Facilitymedian $741 · 10th to 90th $245 to $1,995Professionalmedian $288 · 10th to 90th $178 to $603
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 $251.19 Median $1,174.90 Typical High $2,398.83 | Facility | None | $251.19 | $1,174.90 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $562.34 | Professional | None (both parts) | $251.19 | $338.84 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $69.18 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $245.47 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $251.19 | Professional | None (both parts) | $204.17 | $234.42 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $50.12 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $562.34 | Facility | None | $162.18 | $245.47 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $354.81 | Professional | None (both parts) | $194.98 | $239.88 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $741.31 Typical High $758.58 | Facility | None | $134.90 | $741.31 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $363.08 Typical High $912.01 | Professional | None (both parts) | $213.80 | $363.08 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $50.12 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $741.31 | Professional | TC · Technical part | $169.82 | $288.40 | $741.31 |
Florida Blue Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $2,238.72 | Facility | None | $426.58 | $1,621.81 | $2,238.72 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $263.03 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $263.03 | $457.09 | $537.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $67.61 | $91.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $457.09 | Professional | TC · Technical part | $213.80 | $371.54 | $457.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $47.86 | $257.04 | $602.56 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $676.08 | Professional | None (both parts) | $245.47 | $331.13 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $204.17 | $288.40 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
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 $125.89 Median $125.89 Typical High $218.78 | Professional | 52 · Reduced service | $125.89 | $125.89 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $87.10 | Professional | 53 · Discontinued | $50.12 | $50.12 | $87.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $338.84 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | Q6 · Substitute physician, paid per time | $234.42 | $234.42 | $234.42 |
Where Florida sits
The same service costs 5.1 times more in Wyoming than in Utah. 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· 49th of 51
$288
WY $1,202UT $234
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.