How much rates vary
Facilitymedian $1,202 · 10th to 90th $74 to $6,457Professionalmedian $98 · 10th to 90th $54 to $240
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 $79.43 Median $83.18 Typical High $323.59 | Facility | None | $79.43 | $83.18 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $229.09 | Professional | None (both parts) | $79.43 | $100.00 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $44.67 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $162.18 | Professional | TC · Technical part | $41.69 | $53.70 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $63.10 | Professional | 26 · Professional part | $42.66 | $42.66 | $63.10 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $3,311.31 | Facility | None | $58.88 | $87.10 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $239.88 | Professional | None (both parts) | $50.12 | $64.57 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $4,677.35 Typical High $6,606.93 | Facility | None | $831.76 | $4,677.35 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $97.72 Typical High $436.52 | Professional | None (both parts) | $79.43 | $97.72 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $39.81 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $331.13 | Professional | TC · Technical part | $41.69 | $50.12 | $331.13 |
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 $91.20 Median $177.83 Typical High $575.44 | Professional | None (both parts) | $91.20 | $177.83 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $64.57 | $75.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $102.33 Typical High $512.86 | Professional | TC · Technical part | $46.77 | $102.33 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $41.69 | $89.13 | $199.53 |
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 $93.33 Median $125.89 Typical High $371.54 | Professional | None (both parts) | $93.33 | $125.89 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $47.86 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $70.79 Typical High $275.42 | Professional | TC · Technical part | $52.48 | $70.79 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
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 |
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 $39.81 Median $41.69 Typical High $72.44 | Professional | 52 · Reduced service | $39.81 | $41.69 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $29.51 | Professional | 53 · Discontinued | $15.85 | $16.60 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $66.07 Typical High $93.33 | Professional | FX · Film X-ray | $63.10 | $66.07 | $93.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $91.20 Median $91.20 Typical High $100.00 | Professional | 59 · Distinct service | $91.20 | $91.20 | $100.00 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | XU · Unusual separate service | $91.20 | $91.20 | $91.20 |
Where Florida sits
The same service costs 4.8 times more in Kansas 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
$100
KS $363UT $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.