How much rates vary
Facilitymedian $115 · 10th to 90th $30 to $234Professionalmedian $38 · 10th to 90th $22 to $85
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 $29.51 Median $30.90 Typical High $323.59 | Facility | None | $29.51 | $30.90 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $30.90 Typical High $70.79 | Professional | None (both parts) | $29.51 | $30.90 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $14.79 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.22 Typical High $38.90 | Professional | TC · Technical part | $15.14 | $16.22 | $38.90 |
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 |
AvMed Setting Facility Modifier None Typical Low $24.55 Median $36.31 Typical High $109.65 | Facility | None | $24.55 | $36.31 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.89 Median $25.70 Typical High $48.98 | Professional | None (both parts) | $20.89 | $25.70 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $165.96 Typical High $234.42 | Facility | None | $93.33 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $37.15 Typical High $109.65 | Professional | None (both parts) | $31.62 | $37.15 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $44.67 | Professional | 26 · Professional part | $15.49 | $15.85 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $66.07 | Professional | TC · Technical part | $16.22 | $17.38 | $66.07 |
Florida Blue Setting Facility Modifier None Typical Low $47.86 Median $125.89 Typical High $269.15 | Facility | None | $47.86 | $125.89 | $269.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $33.88 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $33.88 | $77.62 | $102.33 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $30.90 | $39.81 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $18.20 | $46.77 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.05 Median $37.15 Typical High $77.62 | Professional | None (both parts) | $19.05 | $37.15 | $77.62 |
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 $36.31 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $36.31 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $22.39 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $29.51 | $54.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | TC · Technical part | $19.95 | $19.95 | $19.95 |
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 $14.79 Median $15.49 Typical High $27.54 | Professional | 52 · Reduced service | $14.79 | $15.49 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $11.22 | Professional | 53 · Discontinued | $5.89 | $6.31 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $25.12 Typical High $35.48 | Professional | FX · Film X-ray | $23.99 | $25.12 | $35.48 |
Where Florida sits
The same service costs 4.5 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
$38.02
AK $141UT $31.62
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.