How much rates vary
Facilitymedian $81 · 10th to 90th $30 to $229Professionalmedian $37 · 10th to 90th $28 to $74
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 $31.62 Median $33.11 Typical High $95.50 | Facility | None | $31.62 | $33.11 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $31.62 | $40.74 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.18 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $13.18 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $27.54 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | None (both parts) | $33.88 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $12.02 | $22.91 |
AvMed Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $109.65 | Facility | None | $33.11 | $48.98 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $28.18 | $33.11 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $165.96 Typical High $234.42 | Facility | None | $72.44 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $89.13 | Professional | None (both parts) | $33.88 | $37.15 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $29.51 | Professional | 26 · Professional part | $10.96 | $11.22 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.12 Typical High $61.66 | Professional | TC · Technical part | $23.44 | $25.12 | $61.66 |
Florida Blue Setting Facility Modifier None Typical Low $29.51 Median $74.13 Typical High $158.49 | Facility | None | $29.51 | $74.13 | $158.49 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $33.88 Median $47.86 Typical High $58.88 | Professional | None (both parts) | $33.88 | $47.86 | $58.88 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $17.78 | $21.38 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.20 Typical High $38.90 | Professional | TC · Technical part | $22.91 | $30.20 | $38.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.72 Median $33.88 Typical High $75.86 | Professional | None (both parts) | $10.72 | $33.88 | $75.86 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $34.67 | $39.81 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $13.18 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $53.70 | Professional | TC · Technical part | $22.91 | $26.92 | $53.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | 26 · Professional part | $9.77 | $9.77 | $9.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
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 $15.85 Median $16.60 Typical High $25.12 | Professional | 52 · Reduced service | $15.85 | $16.60 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $10.00 | Professional | 53 · Discontinued | $6.31 | $6.61 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $26.92 Typical High $38.90 | Professional | FX · Film X-ray | $25.12 | $26.92 | $38.90 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | Q6 · Substitute physician, paid per time | $38.90 | $38.90 | $38.90 |
Where Florida sits
The same service costs 4.5 times more in Alaska 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· 49th of 51
$37.15
AK $148UT $33.11
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.