How much rates vary
Facilitymedian $437 · 10th to 90th $135 to $1,995Professionalmedian $209 · 10th to 90th $110 to $468
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 $251.19 Median $1,071.52 Typical High $2,344.23 | Facility | None | $251.19 | $1,071.52 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $234.42 | $251.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $72.44 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $138.04 | $158.49 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $50.12 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $95.50 Median $181.97 Typical High $331.13 | Facility | None | $95.50 | $181.97 | $331.13 |
AvMed Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $354.81 | Professional | None (both parts) | $114.82 | $147.91 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $537.03 Typical High $758.58 | Facility | None | $134.90 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $676.08 | Professional | None (both parts) | $144.54 | $295.12 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $125.89 | Professional | 26 · Professional part | $45.71 | $51.29 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $208.93 Typical High $549.54 | Professional | TC · Technical part | $97.72 | $208.93 | $549.54 |
Florida Blue Setting Facility Modifier None Typical Low $426.58 Median $1,122.02 Typical High $2,398.83 | Facility | None | $426.58 | $1,122.02 | $2,398.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $177.83 | $309.03 | $501.19 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $70.79 | $93.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $446.68 | Professional | TC · Technical part | $125.89 | $218.78 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $165.96 Typical High $389.05 | Professional | None (both parts) | $51.29 | $165.96 | $389.05 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $524.81 | Professional | None (both parts) | $162.18 | $223.87 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $57.54 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $416.87 | Professional | TC · Technical part | $117.49 | $162.18 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
6 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 $125.89 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $323.59 | Professional | FX · Film X-ray | $199.53 | $199.53 | $323.59 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $229.09 Median $239.88 Typical High $239.88 | Professional | 50 · Both sides | $229.09 | $239.88 | $239.88 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 51 · Multiple procedures | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | Q6 · Substitute physician, paid per time | $158.49 | $158.49 | $158.49 |
Where Florida sits
The same service costs 13.5 times more in Vermont than in Utah. 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· 48th of 51
$214
VT $2,089UT $155
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.