How much rates vary
Facilitymedian $1,738 · 10th to 90th $93 to $6,457Professionalmedian $141 · 10th to 90th $72 to $347
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 $112.20 Median $112.20 Typical High $2,511.89 | Facility | None | $112.20 | $112.20 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $302.00 | Professional | None (both parts) | $112.20 | $144.54 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $63.10 | $66.07 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $213.80 | Professional | TC · Technical part | $47.86 | $61.66 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $128.82 | $128.82 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $74.13 | $104.71 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $3,311.31 | Facility | None | $69.18 | $109.65 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $288.40 | Professional | None (both parts) | $58.88 | $75.86 | $288.40 |
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 $114.82 Median $141.25 Typical High $512.86 | Professional | None (both parts) | $114.82 | $141.25 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $67.61 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $407.38 | Professional | TC · Technical part | $47.86 | $58.88 | $407.38 |
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 $125.89 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $125.89 | $245.47 | $588.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $74.13 | $97.72 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $158.49 Typical High $512.86 | Professional | TC · Technical part | $56.23 | $158.49 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $63.10 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $63.10 | $131.83 | $309.03 |
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 $128.82 Median $177.83 Typical High $436.52 | Professional | None (both parts) | $128.82 | $177.83 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $52.48 | $79.43 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $323.59 | Professional | TC · Technical part | $61.66 | $91.20 | $323.59 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
5 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 $56.23 Median $58.88 Typical High $102.33 | Professional | 52 · Reduced service | $56.23 | $58.88 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $41.69 | Professional | 53 · Discontinued | $22.39 | $23.44 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $93.33 Typical High $134.90 | Professional | FX · Film X-ray | $89.13 | $93.33 | $134.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | XU · Unusual separate service | $128.82 | $128.82 | $128.82 |
Where Florida sits
The same service costs 5.1 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· 49th of 51
$141
AK $513UT $100
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.