How much rates vary
Facilitymedian $120 · 10th to 90th $28 to $646Professionalmedian $33 · 10th to 90th $25 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 $26.30 Median $33.88 Typical High $63.10 | Facility | None | $26.30 | $33.88 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $67.61 | Professional | None (both parts) | $26.30 | $30.90 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $12.30 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $51.29 | Professional | TC · Technical part | $16.22 | $19.05 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $53.70 | $53.70 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $12.88 | Professional | 26 · Professional part | $11.75 | $12.02 | $12.88 |
AvMed Setting Facility Modifier None Typical Low $25.70 Median $38.02 Typical High $363.08 | Facility | None | $25.70 | $38.02 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $21.88 Median $27.54 Typical High $58.88 | Professional | None (both parts) | $21.88 | $27.54 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $467.74 Typical High $724.44 | Facility | None | $56.23 | $467.74 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $31.62 Typical High $91.20 | Professional | None (both parts) | $28.18 | $31.62 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.96 Typical High $29.51 | Professional | 26 · Professional part | $10.72 | $10.96 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.05 Typical High $64.57 | Professional | TC · Technical part | $17.78 | $19.05 | $64.57 |
Florida Blue Setting Facility Modifier None Typical Low $41.69 Median $107.15 Typical High $229.09 | Facility | None | $41.69 | $107.15 | $229.09 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $67.61 | Professional | None (both parts) | $29.51 | $50.12 | $67.61 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $18.20 | $21.38 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $28.18 | $42.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $33.88 Typical High $74.13 | Professional | None (both parts) | $12.30 | $33.88 | $74.13 |
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 $30.20 Median $40.74 Typical High $81.28 | Professional | None (both parts) | $30.20 | $40.74 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $13.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $53.70 | Professional | TC · Technical part | $17.38 | $24.55 | $53.70 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
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 $12.88 Median $13.80 Typical High $23.44 | Professional | 52 · Reduced service | $12.88 | $13.80 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $9.33 | Professional | 53 · Discontinued | $5.25 | $5.50 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $21.88 Typical High $33.88 | Professional | FX · Film X-ray | $20.89 | $21.88 | $33.88 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in New York. 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
$33.88
AK $115NY $30.20
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.