How much rates vary
Facilitymedian $78 · 10th to 90th $32 to $195Professionalmedian $35 · 10th to 90th $26 to $69
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 $29.51 Median $30.90 Typical High $138.04 | Facility | None | $29.51 | $30.90 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $29.51 | $38.02 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $18.20 | Professional | 26 · Professional part | $7.24 | $9.33 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $28.84 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $45.71 | Professional | None (both parts) | $30.20 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $7.76 | $8.71 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $25.70 | $64.57 |
AvMed Setting Facility Modifier None Typical Low $36.31 Median $53.70 Typical High $91.20 | Facility | None | $36.31 | $53.70 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $29.51 Median $36.31 Typical High $39.81 | Professional | None (both parts) | $29.51 | $36.31 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $147.91 Typical High $263.03 | Facility | None | $75.86 | $147.91 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $77.62 | Professional | None (both parts) | $32.36 | $34.67 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $20.89 | Professional | 26 · Professional part | $7.59 | $7.76 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $26.30 | $60.26 |
Florida Blue Setting Facility Modifier None Typical Low $40.74 Median $83.18 Typical High $128.82 | Facility | None | $40.74 | $83.18 | $128.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $56.23 | Professional | None (both parts) | $32.36 | $42.66 | $56.23 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $7.94 | $12.02 | $15.14 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $30.20 | $41.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.79 Median $29.51 Typical High $70.79 | Professional | None (both parts) | $14.79 | $29.51 | $70.79 |
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 $31.62 Median $38.02 Typical High $72.44 | Professional | None (both parts) | $31.62 | $38.02 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $9.77 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $27.54 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | 26 · Professional part | $6.46 | $6.46 | $6.46 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
2 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 FX · Film X-ray Typical Low $23.44 Median $25.12 Typical High $35.48 | Professional | FX · Film X-ray | $23.44 | $25.12 | $35.48 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | Q6 · Substitute physician, paid per time | $38.02 | $38.02 | $38.02 |
Where Florida sits
The same service costs 11.7 times more in Vermont 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· 50th of 51
$34.67
VT $389UT $33.11
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.