How much rates vary
Facilitymedian $151 · 10th to 90th $38 to $2,089Professionalmedian $87 · 10th to 90th $52 to $186
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 $75.86 Median $79.43 Typical High $323.59 | Facility | None | $75.86 | $79.43 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $181.97 | Professional | None (both parts) | $75.86 | $91.20 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $35.48 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $53.70 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $38.90 | $47.86 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $83.18 Typical High $1,621.81 | Facility | None | $56.23 | $83.18 | $1,621.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $97.72 | Professional | None (both parts) | $47.86 | $61.66 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,513.56 Typical High $3,019.95 | Facility | None | $588.84 | $1,513.56 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $204.17 | Professional | None (both parts) | $75.86 | $83.18 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $36.31 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $134.90 | Professional | TC · Technical part | $40.74 | $46.77 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $204.17 | Facility | None | $38.02 | $97.72 | $204.17 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $151.36 | Professional | None (both parts) | $74.13 | $107.15 | $151.36 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $39.81 | $50.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $38.90 | $72.44 | $104.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.90 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $38.90 | $87.10 | $199.53 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,819.70 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $70.79 | $93.33 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $26.30 | $30.20 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $64.57 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
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 $38.02 Median $39.81 Typical High $56.23 | Professional | 52 · Reduced service | $38.02 | $39.81 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $22.39 | Professional | 53 · Discontinued | $15.14 | $16.22 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $64.57 Typical High $87.10 | Professional | FX · Film X-ray | $60.26 | $64.57 | $87.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | XU · Unusual separate service | $85.11 | $85.11 | $85.11 |
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
$87.10
AK $316UT $75.86
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.