How much rates vary
Facilitymedian $50 · 10th to 90th $19 to $145Professionalmedian $22 · 10th to 90th $18 to $54
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 $18.20 Median $19.05 Typical High $128.82 | Facility | None | $18.20 | $19.05 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.18 Median $15.14 Typical High $38.90 | Facility | TC · Technical part | $13.18 | $15.14 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $18.20 | $23.99 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $6.61 Typical High $12.30 | Professional | 26 · Professional part | $5.01 | $6.61 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.98 Typical High $33.11 | Professional | TC · Technical part | $13.18 | $16.98 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $22.39 Typical High $25.12 | Professional | None (both parts) | $17.78 | $22.39 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.61 Typical High $10.00 | Professional | 26 · Professional part | $5.62 | $6.61 | $10.00 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $18.62 | Professional | TC · Technical part | $13.80 | $16.22 | $18.62 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $91.20 | Facility | None | $20.42 | $30.20 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $16.98 Median $20.42 Typical High $22.39 | Professional | None (both parts) | $16.98 | $20.42 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $104.71 Typical High $177.83 | Facility | None | $45.71 | $104.71 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.38 Typical High $50.12 | Professional | None (both parts) | $19.50 | $21.38 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.37 Typical High $14.79 | Professional | 26 · Professional part | $5.25 | $5.37 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $15.14 Typical High $38.02 | Professional | TC · Technical part | $14.13 | $15.14 | $38.02 |
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 $19.50 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $19.50 | $29.51 | $34.67 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $9.33 Typical High $10.23 | Professional | 26 · Professional part | $5.75 | $9.33 | $10.23 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $19.95 Typical High $24.55 | Professional | TC · Technical part | $14.13 | $19.95 | $24.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.50 Median $28.84 Typical High $72.44 | Professional | None (both parts) | $5.50 | $28.84 | $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 $20.42 Median $23.99 Typical High $51.29 | Professional | None (both parts) | $20.42 | $23.99 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.61 Typical High $13.18 | Professional | 26 · Professional part | $5.75 | $6.61 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.60 Typical High $33.88 | Professional | TC · Technical part | $13.80 | $16.60 | $33.88 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | None (both parts) | $18.62 | $18.62 | $18.62 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | TC · Technical part | $13.49 | $13.49 | $13.49 |
5 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 $9.12 Median $9.55 Typical High $14.13 | Professional | 52 · Reduced service | $9.12 | $9.55 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.89 Typical High $5.75 | Professional | 53 · Discontinued | $3.63 | $3.89 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $15.49 Typical High $21.88 | Professional | FX · Film X-ray | $14.45 | $15.49 | $21.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $28.84 Median $33.88 Typical High $36.31 | Professional | 50 · Both sides | $28.84 | $33.88 | $36.31 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 59 · Distinct service | $22.39 | $22.39 | $22.39 |
Where Florida sits
The same service costs 3.7 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
$22.39
AK $83.18FL $22.39
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.