How much rates vary
Facilitymedian $58 · 10th to 90th $20 to $145Professionalmedian $27 · 10th to 90th $22 to $59
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 $21.88 Median $25.12 Typical High $123.03 | Facility | None | $21.88 | $25.12 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $51.29 | Facility | TC · Technical part | $16.22 | $18.62 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $56.23 | Professional | None (both parts) | $21.88 | $28.18 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.24 Typical High $13.80 | Professional | 26 · Professional part | $5.50 | $7.24 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $21.38 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $31.62 | Professional | None (both parts) | $21.38 | $26.92 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.46 Typical High $10.00 | Professional | 26 · Professional part | $4.68 | $6.46 | $10.00 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $17.38 | $21.88 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $91.20 | Facility | None | $25.70 | $37.15 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $28.18 | Professional | None (both parts) | $20.42 | $24.55 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $104.71 Typical High $177.83 | Facility | None | $56.23 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $24.55 Typical High $60.26 | Professional | None (both parts) | $23.44 | $24.55 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.46 Typical High $16.22 | Professional | 26 · Professional part | $5.75 | $6.46 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $19.05 | $44.67 |
Florida Blue Setting Facility Modifier None Typical Low $19.95 Median $52.48 Typical High $112.20 | Facility | None | $19.95 | $52.48 | $112.20 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $40.74 | Professional | None (both parts) | $23.44 | $31.62 | $40.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $10.00 Typical High $11.22 | Professional | 26 · Professional part | $6.03 | $10.00 | $11.22 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $17.38 | $21.88 | $30.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.89 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $5.89 | $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 $28.18 Typical High $54.95 | Professional | None (both parts) | $22.39 | $28.18 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $6.46 | $7.59 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $40.74 | Professional | TC · Technical part | $15.49 | $20.42 | $40.74 |
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 $5.13 Median $5.13 Typical High $5.13 | Professional | 26 · Professional part | $5.13 | $5.13 | $5.13 |
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 $10.96 Median $11.48 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $11.48 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.57 Typical High $6.92 | Professional | 53 · Discontinued | $4.37 | $4.57 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $18.62 Typical High $26.30 | Professional | FX · Film X-ray | $17.38 | $18.62 | $26.30 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | 50 · Both sides | $33.88 | $39.81 | $50.12 |
Where Florida sits
The same service costs 12.9 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
$26.92
VT $347FL $26.92
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.