How much rates vary
Facilitymedian $1,047 · 10th to 90th $51 to $8,128Professionalmedian $79 · 10th to 90th $39 to $501
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 $302.00 Median $316.23 Typical High $323.59 | Facility | None | $302.00 | $316.23 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $302.00 | $316.23 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $15.85 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $316.23 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
AvMed Setting Facility Modifier None Typical Low $21.88 Median $562.34 Typical High $1,148.15 | Facility | None | $21.88 | $562.34 | $1,148.15 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.20 Median $58.88 Typical High $562.34 | Professional | None (both parts) | $18.20 | $58.88 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $1,174.90 Typical High $1,905.46 | Facility | None | $275.42 | $1,174.90 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $44.67 Typical High $117.49 | Professional | None (both parts) | $38.90 | $44.67 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $16.60 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $75.86 | Professional | TC · Technical part | $22.91 | $25.70 | $75.86 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $1,047.13 Typical High $8,128.31 | Facility | None | $51.29 | $1,047.13 | $8,128.31 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $549.54 | Professional | None (both parts) | $60.26 | $87.10 | $549.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $16.60 | $25.70 | $30.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $537.03 | Professional | TC · Technical part | $39.81 | $57.54 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.85 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $15.85 | $67.61 | $109.65 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $57.54 | $380.19 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $19.95 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $40.74 | $363.08 | $724.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $15.49 | $15.49 | $15.49 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
3 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 $147.91 Median $158.49 Typical High $245.47 | Professional | 52 · Reduced service | $147.91 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $64.57 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $257.04 Typical High $389.05 | Professional | FX · Film X-ray | $239.88 | $257.04 | $389.05 |
Where Florida sits
The same service costs 11.2 times more in Colorado than in Michigan. 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
$81.28
CO $661MI $58.88
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.