How much rates vary
Facilitymedian $1,549 · 10th to 90th $87 to $6,457Professionalmedian $132 · 10th to 90th $68 to $339
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 $104.71 Median $109.65 Typical High $323.59 | Facility | None | $104.71 | $109.65 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $104.71 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $60.26 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $63.10 Typical High $190.55 | Professional | TC · Technical part | $46.77 | $63.10 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | None (both parts) | $120.23 | $120.23 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $109.65 | Professional | 26 · Professional part | $67.61 | $67.61 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $3,311.31 | Facility | None | $66.07 | $102.33 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $263.03 | Professional | None (both parts) | $56.23 | $72.44 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,677.35 Typical High $6,760.83 | Facility | None | $1,778.28 | $4,677.35 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $489.78 | Professional | None (both parts) | $104.71 | $125.89 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $61.66 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $371.54 | Professional | TC · Technical part | $46.77 | $56.23 | $371.54 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $2,691.53 | Facility | None | $489.78 | $1,258.93 | $2,691.53 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $114.82 Median $213.80 Typical High $575.44 | Professional | None (both parts) | $114.82 | $213.80 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $64.57 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $138.04 Typical High $512.86 | Professional | TC · Technical part | $52.48 | $138.04 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $128.82 Typical High $331.13 | Professional | None (both parts) | $58.88 | $128.82 | $331.13 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,630.78 | $3,981.07 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $398.11 | Professional | None (both parts) | $117.49 | $162.18 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $72.44 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $83.18 Typical High $309.03 | Professional | TC · Technical part | $58.88 | $83.18 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $52.48 Median $54.95 Typical High $89.13 | Professional | 52 · Reduced service | $52.48 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $36.31 | Professional | 53 · Discontinued | $20.89 | $21.88 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $123.03 | Professional | FX · Film X-ray | $83.18 | $87.10 | $123.03 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | XU · Unusual separate service | $120.23 | $120.23 | $120.23 |
Where Florida sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$132
AK $468TX $115
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.