How much rates vary
Facilitymedian $59 · 10th to 90th $20 to $145Professionalmedian $26 · 10th to 90th $21 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 $138.04 | Facility | None | $21.88 | $25.12 | $138.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.50 Median $5.62 Typical High $12.02 | Facility | 26 · Professional part | $5.50 | $5.62 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $18.62 Typical High $50.12 | Facility | TC · Technical part | $16.22 | $18.62 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $21.88 | $28.84 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.24 Typical High $13.49 | Professional | 26 · Professional part | $5.50 | $7.24 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $21.38 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.30 Typical High $33.11 | Professional | None (both parts) | $21.38 | $26.30 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $9.77 | Professional | 26 · Professional part | $5.89 | $6.61 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.95 Typical High $33.11 | Professional | TC · Technical part | $16.98 | $19.95 | $33.11 |
AvMed Setting Facility Modifier None Typical Low $25.12 Median $37.15 Typical High $91.20 | Facility | None | $25.12 | $37.15 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.12 Typical High $27.54 | Professional | None (both parts) | $20.42 | $25.12 | $27.54 |
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 $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 $5.89 Typical High $15.85 | Professional | 26 · Professional part | $5.75 | $5.89 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $45.71 | Professional | TC · Technical part | $17.78 | $19.05 | $45.71 |
Florida Blue Setting Facility Modifier None Typical Low $19.95 Median $53.70 Typical High $114.82 | Facility | None | $19.95 | $53.70 | $114.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $39.81 | Professional | None (both parts) | $23.44 | $31.62 | $39.81 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.77 Typical High $11.22 | Professional | 26 · Professional part | $6.03 | $9.77 | $11.22 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $16.60 | $21.38 | $28.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.37 Median $29.51 Typical High $72.44 | Professional | None (both parts) | $5.37 | $29.51 | $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 $22.91 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $22.91 | $28.18 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.24 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $7.24 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.95 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $19.95 | $40.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | 26 · Professional part | $4.90 | $4.90 | $4.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | TC · Technical part | $15.85 | $15.85 | $15.85 |
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 $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 $31.62 Median $39.81 Typical High $50.12 | Professional | 50 · Both sides | $31.62 | $39.81 | $50.12 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | Q6 · Substitute physician, paid per time | $39.81 | $39.81 | $39.81 |
Where Florida sits
The same service costs 15.1 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 $407FL $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.