How much rates vary
Facilitymedian $55 · 10th to 90th $19 to $145Professionalmedian $25 · 10th to 90th $19 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 $20.89 Median $21.88 Typical High $48.98 | Facility | None | $20.89 | $21.88 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.70 Typical High $51.29 | Professional | None (both parts) | $20.89 | $25.70 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.92 Typical High $12.88 | Professional | 26 · Professional part | $5.50 | $6.92 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $38.02 | Professional | TC · Technical part | $15.14 | $19.05 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $29.51 | Professional | None (both parts) | $19.95 | $25.12 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.61 Typical High $9.77 | Professional | 26 · Professional part | $6.03 | $6.61 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $15.85 | $18.62 | $18.62 |
AvMed Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $91.20 | Facility | None | $23.44 | $34.67 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $25.70 | Professional | None (both parts) | $18.62 | $23.44 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $104.71 Typical High $177.83 | Facility | None | $53.70 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.44 Typical High $56.23 | Professional | None (both parts) | $22.39 | $23.44 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.89 Typical High $15.49 | Professional | 26 · Professional part | $5.75 | $5.89 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $17.78 Typical High $41.69 | Professional | TC · Technical part | $16.60 | $17.78 | $41.69 |
Florida Blue Setting Facility Modifier None Typical Low $18.62 Median $50.12 Typical High $107.15 | Facility | None | $18.62 | $50.12 | $107.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $21.88 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $21.88 | $29.51 | $38.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.33 Typical High $11.22 | Professional | 26 · Professional part | $6.03 | $9.33 | $11.22 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $28.18 | Professional | TC · Technical part | $16.22 | $19.95 | $28.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.89 Median $30.20 Typical High $72.44 | Professional | None (both parts) | $5.89 | $30.20 | $72.44 |
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 $21.38 Median $26.92 Typical High $54.95 | Professional | None (both parts) | $21.38 | $26.92 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.24 Typical High $14.13 | Professional | 26 · Professional part | $6.17 | $7.24 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.05 Typical High $37.15 | Professional | TC · Technical part | $14.79 | $19.05 | $37.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None (both parts) | $21.38 | $21.38 | $21.38 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 26 · Professional part | $5.25 | $5.25 | $5.25 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | TC · Technical part | $16.22 | $16.22 | $16.22 |
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 $10.23 Median $10.96 Typical High $16.22 | Professional | 52 · Reduced service | $10.23 | $10.96 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.37 Typical High $6.46 | Professional | 53 · Discontinued | $4.17 | $4.37 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $16.60 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $16.60 | $17.38 | $25.12 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $38.02 Typical High $83.18 | Professional | 50 · Both sides | $32.36 | $38.02 | $83.18 |
Where Florida sits
The same service costs 3.8 times more in Alaska 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
$25.12
AK $95.50FL $25.12
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.