How much rates vary
Facilitymedian $1,202 · 10th to 90th $81 to $2,344Professionalmedian $100 · 10th to 90th $56 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 $83.18 Median $87.10 Typical High $323.59 | Facility | None | $83.18 | $87.10 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $223.87 | Professional | None (both parts) | $83.18 | $100.00 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $37.15 | $43.65 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $162.18 | Professional | TC · Technical part | $45.71 | $54.95 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $47.86 | $95.50 |
AvMed Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $1,621.81 | Facility | None | $63.10 | $93.33 | $1,621.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $239.88 | Professional | None (both parts) | $53.70 | $69.18 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,513.56 Typical High $3,019.95 | Facility | None | $831.76 | $1,513.56 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $446.68 | Professional | None (both parts) | $83.18 | $102.33 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $40.74 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $53.70 Typical High $331.13 | Professional | TC · Technical part | $44.67 | $53.70 | $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 $181.97 Typical High $575.44 | Professional | None (both parts) | $91.20 | $181.97 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $64.57 | $77.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $107.15 Typical High $512.86 | Professional | TC · Technical part | $51.29 | $107.15 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $42.66 | $91.20 | $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 $95.50 Median $131.83 Typical High $371.54 | Professional | None (both parts) | $95.50 | $131.83 | $371.54 |
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 $56.23 Median $75.86 Typical High $275.42 | Professional | TC · Technical part | $56.23 | $75.86 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
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 $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
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 $40.74 Median $43.65 Typical High $75.86 | Professional | 52 · Reduced service | $40.74 | $43.65 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $30.20 | Professional | 53 · Discontinued | $16.60 | $17.38 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $69.18 Typical High $97.72 | Professional | FX · Film X-ray | $66.07 | $69.18 | $97.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
Where Florida sits
The same service costs 4.8 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· 49th of 51
$102
AK $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.