How much rates vary
Facilitymedian $1,096 · 10th to 90th $229 to $5,012Professionalmedian $324 · 10th to 90th $52 to $2,818
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 $323.59 Median $1,737.80 Typical High $1,862.09 | Facility | None | $323.59 | $1,737.80 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,862.09 Typical High $2,884.03 | Professional | None (both parts) | $1,737.80 | $1,862.09 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $36.31 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,862.09 Typical High $2,884.03 | Professional | TC · Technical part | $1,737.80 | $1,862.09 | $2,884.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
AvMed Setting Facility Modifier None Typical Low $52.48 Median $3,311.31 Typical High $6,606.93 | Facility | None | $52.48 | $3,311.31 | $6,606.93 |
AvMed Setting Professional Modifier None (both parts) Typical Low $42.66 Median $275.42 Typical High $3,235.94 | Professional | None (both parts) | $42.66 | $275.42 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,348.96 Typical High $6,025.60 | Facility | None | $338.84 | $1,348.96 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $524.81 | Professional | None (both parts) | $181.97 | $208.93 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $37.15 | $39.81 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $162.18 Typical High $426.58 | Professional | TC · Technical part | $144.54 | $162.18 | $426.58 |
Florida Blue Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,318.26 | Facility | None | $239.88 | $616.60 | $1,318.26 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $3,162.28 | Professional | None (both parts) | $239.88 | $338.84 | $3,162.28 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $66.07 | $77.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $269.15 Typical High $3,090.30 | Professional | TC · Technical part | $190.55 | $269.15 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $218.78 | Professional | None (both parts) | $35.48 | $54.95 | $218.78 |
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 $223.87 Median $2,137.96 Typical High $4,073.80 | Professional | None (both parts) | $223.87 | $2,137.96 | $4,073.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $48.98 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $2,089.30 Typical High $4,168.69 | Professional | TC · Technical part | $186.21 | $2,089.30 | $4,168.69 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $3,090.30 Typical High $3,311.31 | Professional | None (both parts) | $2,754.23 | $3,090.30 | $3,311.31 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $190.55 | $190.55 | $190.55 |
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 $870.96 Median $933.25 Typical High $1,445.44 | Professional | 52 · Reduced service | $870.96 | $933.25 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $371.54 Typical High $575.44 | Professional | 53 · Discontinued | $354.81 | $371.54 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,412.54 Median $1,513.56 Typical High $2,238.72 | Professional | FX · Film X-ray | $1,412.54 | $1,513.56 | $2,238.72 |
Where Florida sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 47th of 51
$339
CO $3,890NJ $257
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.