How much rates vary
Facilitymedian $120 · 10th to 90th $43 to $339Professionalmedian $56 · 10th to 90th $31 to $129
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 $42.66 Median $45.71 Typical High $102.33 | Facility | None | $42.66 | $45.71 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $112.20 | Professional | None (both parts) | $42.66 | $50.12 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.38 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $21.38 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $72.44 | Professional | TC · Technical part | $24.55 | $27.54 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $52.48 | Professional | None (both parts) | $38.02 | $47.86 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $4.07 | $22.39 | $26.92 |
AvMed Setting Facility Modifier None Typical Low $32.36 Median $46.77 Typical High $109.65 | Facility | None | $32.36 | $46.77 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $66.07 | Professional | None (both parts) | $27.54 | $33.88 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $346.74 | Facility | None | $112.20 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $138.04 | Professional | None (both parts) | $38.90 | $47.86 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $47.86 | Professional | 26 · Professional part | $19.50 | $20.42 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $85.11 | Professional | TC · Technical part | $19.95 | $24.55 | $85.11 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $131.83 Typical High $281.84 | Facility | None | $51.29 | $131.83 | $281.84 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $43.65 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $43.65 | $83.18 | $114.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $30.90 | $37.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $54.95 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $58.88 Typical High $138.04 | Professional | None (both parts) | $25.70 | $58.88 | $138.04 |
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 $54.95 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $54.95 | $67.61 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $23.44 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $45.71 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
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 $21.38 Median $22.91 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $22.91 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $13.80 | Professional | 53 · Discontinued | $8.71 | $9.12 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $36.31 Typical High $45.71 | Professional | FX · Film X-ray | $34.67 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.59 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | Q6 · Substitute physician, paid per time | $47.86 | $47.86 | $47.86 |
Where Florida sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$56.23
AK $195TX $47.86
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.