How much rates vary
Facilitymedian $562 · 10th to 90th $170 to $1,349Professionalmedian $288 · 10th to 90th $120 to $603
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 $169.82 Median $776.25 Typical High $1,584.89 | Facility | None | $169.82 | $776.25 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $169.82 | $275.42 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $93.33 Typical High $169.82 | Professional | 26 · Professional part | $51.29 | $93.33 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $398.11 | Professional | TC · Technical part | $120.23 | $177.83 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $281.84 | $338.84 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $89.13 | $131.83 |
AvMed Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $407.38 | Facility | None | $120.23 | $181.97 | $407.38 |
AvMed Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $144.54 | $181.97 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $741.31 Typical High $831.76 | Facility | None | $524.81 | $741.31 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $1,148.15 | Professional | None (both parts) | $288.40 | $416.87 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $81.28 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $870.96 | Professional | TC · Technical part | $208.93 | $302.00 | $870.96 |
Florida Blue Setting Facility Modifier None Typical Low $562.34 Median $588.84 Typical High $588.84 | Facility | None | $562.34 | $588.84 | $588.84 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $295.12 | $446.68 | $562.34 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $117.49 | $158.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $398.11 | Professional | TC · Technical part | $204.17 | $331.13 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $223.87 Typical High $501.19 | Professional | None (both parts) | $91.20 | $223.87 | $501.19 |
United Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $218.78 | Facility | None | $204.17 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $288.40 | $407.38 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $85.11 | $100.00 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $309.03 | $602.56 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
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 $85.11 Median $85.11 Typical High $194.98 | Professional | 52 · Reduced service | $85.11 | $85.11 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $77.62 | Professional | 53 · Discontinued | $33.88 | $33.88 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $281.84 | Professional | FX · Film X-ray | $138.04 | $138.04 | $281.84 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | Q6 · Substitute physician, paid per time | $323.59 | $323.59 | $323.59 |
Where Florida sits
The same service costs 6.8 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· 48th of 51
$288
AK $1,148UT $170
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.