How much rates vary
Facilitymedian $115 · 10th to 90th $31 to $234Professionalmedian $68 · 10th to 90th $52 to $138
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 $56.23 Median $60.26 Typical High $323.59 | Facility | None | $56.23 | $60.26 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $56.23 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $16.60 Typical High $27.54 | Professional | 26 · Professional part | $15.85 | $16.60 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $43.65 Typical High $67.61 | Professional | TC · Technical part | $40.74 | $43.65 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $131.83 | Facility | None | $58.88 | $87.10 | $131.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $50.12 Median $61.66 Typical High $79.43 | Professional | None (both parts) | $50.12 | $61.66 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $323.59 | Facility | None | $158.49 | $218.78 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $162.18 | Professional | None (both parts) | $56.23 | $64.57 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $16.98 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $123.03 | Professional | TC · Technical part | $39.81 | $44.67 | $123.03 |
Florida Blue Setting Facility Modifier None Typical Low $30.90 Median $83.18 Typical High $169.82 | Facility | None | $30.90 | $83.18 | $169.82 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $56.23 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $56.23 | $87.10 | $128.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $26.30 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $31.62 | $63.10 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $69.18 Typical High $151.36 | Professional | None (both parts) | $19.95 | $69.18 | $151.36 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $147.91 | Professional | None (both parts) | $58.88 | $75.86 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $19.95 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $57.54 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None (both parts) | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | TC · Technical part | $47.86 | $47.86 | $47.86 |
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 $28.18 Median $30.20 Typical High $42.66 | Professional | 52 · Reduced service | $28.18 | $30.20 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.02 Typical High $16.98 | Professional | 53 · Discontinued | $11.48 | $12.02 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $47.86 Typical High $66.07 | Professional | FX · Film X-ray | $45.71 | $47.86 | $66.07 |
Where Florida sits
The same service costs 3.8 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· 50th of 51
$67.61
AK $245UT $64.57
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.