How much rates vary
Facilitymedian $912 · 10th to 90th $224 to $3,020Professionalmedian $302 · 10th to 90th $129 to $741
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 $1,122.02 Typical High $2,398.83 | Facility | None | $251.19 | $1,122.02 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $691.83 | Professional | None (both parts) | $251.19 | $371.54 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $104.71 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $257.04 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $302.00 | Professional | None (both parts) | $208.93 | $239.88 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $81.28 | $100.00 |
AvMed Setting Facility Modifier None Typical Low $158.49 Median $295.12 Typical High $549.54 | Facility | None | $158.49 | $295.12 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $190.55 | $245.47 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $812.83 Typical High $1,258.93 | Facility | None | $199.53 | $812.83 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $239.88 | $467.74 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $83.18 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $331.13 Typical High $1,071.52 | Professional | TC · Technical part | $169.82 | $331.13 | $1,071.52 |
Florida Blue Setting Facility Modifier None Typical Low $954.99 Median $2,238.72 Typical High $4,786.30 | Facility | None | $954.99 | $2,238.72 | $4,786.30 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $371.54 Median $660.69 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $660.69 | $1,071.52 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $114.82 | $154.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $512.86 Typical High $977.24 | Professional | TC · Technical part | $269.15 | $512.86 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $91.20 | $257.04 | $630.96 |
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 $281.84 Median $398.11 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $398.11 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $93.33 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $794.33 | Professional | TC · Technical part | $213.80 | $302.00 | $794.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $125.89 Median $125.89 Typical High $251.19 | Professional | 52 · Reduced service | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $100.00 | Professional | 53 · Discontinued | $50.12 | $50.12 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $371.54 | Professional | FX · Film X-ray | $199.53 | $199.53 | $371.54 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | Q6 · Substitute physician, paid per time | $263.03 | $263.03 | $263.03 |
Where Florida sits
The same service costs 5.8 times more in Wyoming 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
$309
WY $1,349UT $234
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.