How much rates vary
Facilitymedian $1,698 · 10th to 90th $98 to $6,607Professionalmedian $123 · 10th to 90th $74 to $302
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 $93.33 Median $100.00 Typical High $323.59 | Facility | None | $93.33 | $100.00 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $93.33 | $117.49 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $42.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $74.13 | $199.53 |
AvMed Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $5,754.40 | Facility | None | $89.13 | $141.25 | $5,754.40 |
AvMed Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $263.03 | Professional | None (both parts) | $75.86 | $95.50 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $4,786.30 Typical High $11,748.98 | Facility | None | $1,778.28 | $4,786.30 | $11,748.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $457.09 | Professional | None (both parts) | $97.72 | $123.03 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $38.90 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $371.54 | Professional | TC · Technical part | $61.66 | $74.13 | $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 $107.15 Median $208.93 Typical High $575.44 | Professional | None (both parts) | $107.15 | $208.93 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $38.02 | $64.57 | $74.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $512.86 | Professional | TC · Technical part | $72.44 | $134.90 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $42.66 | $117.49 | $269.15 |
United Setting Facility Modifier None Typical Low $6,456.54 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,456.54 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $389.05 | Professional | None (both parts) | $112.20 | $151.36 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $47.86 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $309.03 | Professional | TC · Technical part | $74.13 | $97.72 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $38.90 | $38.90 | $38.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $46.77 Median $48.98 Typical High $87.10 | Professional | 52 · Reduced service | $46.77 | $48.98 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.95 Typical High $34.67 | Professional | 53 · Discontinued | $18.62 | $19.95 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $79.43 Typical High $120.23 | Professional | FX · Film X-ray | $75.86 | $79.43 | $120.23 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | XU · Unusual separate service | $112.20 | $112.20 | $114.82 |
Where Florida sits
The same service costs 4.2 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
$123
AK $437UT $105
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.