How much rates vary
Facilitymedian $347 · 10th to 90th $83 to $851Professionalmedian $100 · 10th to 90th $60 to $234
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 $87.10 Median $93.33 Typical High $323.59 | Facility | None | $87.10 | $93.33 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $87.10 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $31.62 | Professional | 26 · Professional part | $19.05 | $19.95 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $109.65 | Professional | TC · Technical part | $67.61 | $72.44 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $363.08 | Facility | None | $100.00 | $147.91 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $109.65 | Professional | None (both parts) | $79.43 | $95.50 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $870.96 | Facility | None | $346.74 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $213.80 | Professional | None (both parts) | $85.11 | $93.33 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $53.70 | Professional | 26 · Professional part | $19.50 | $20.42 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $74.13 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $74.13 | $165.96 |
Florida Blue Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $660.69 | Facility | None | $83.18 | $239.88 | $660.69 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $144.54 | Professional | None (both parts) | $83.18 | $117.49 | $144.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $30.90 | $37.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $85.11 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $28.18 | $109.65 | $269.15 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $77.62 | $104.71 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $25.12 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $81.28 | $154.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 26 · Professional part | $15.14 | $15.14 | $15.14 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
3 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 $43.65 Median $45.71 Typical High $64.57 | Professional | 52 · Reduced service | $43.65 | $45.71 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $25.70 | Professional | 53 · Discontinued | $17.38 | $18.62 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $74.13 Typical High $100.00 | Professional | FX · Film X-ray | $69.18 | $74.13 | $100.00 |
Where Florida sits
The same service costs 3.9 times more in Alaska than in New York. 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
$100
AK $380NY $97.72
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.