How much rates vary
Facilitymedian $195 · 10th to 90th $78 to $562Professionalmedian $93 · 10th to 90th $51 to $200
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 $77.62 Median $114.82 Typical High $223.87 | Facility | None | $77.62 | $114.82 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $154.88 | Facility | TC · Technical part | $51.29 | $60.26 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $77.62 | $95.50 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $32.36 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $64.57 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $97.72 | Professional | None (both parts) | $72.44 | $89.13 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $30.20 | $48.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | TC · Technical part | $58.88 | $58.88 | $70.79 |
AvMed Setting Facility Modifier None Typical Low $74.13 Median $109.65 Typical High $165.96 | Facility | None | $74.13 | $109.65 | $165.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $63.10 | $81.28 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $213.80 Typical High $346.74 | Facility | None | $109.65 | $213.80 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $79.43 | $91.20 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $27.54 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $60.26 | $144.54 |
Florida Blue Setting Facility Modifier None Typical Low $77.62 Median $346.74 Typical High $562.34 | Facility | None | $77.62 | $346.74 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $165.96 | Professional | None (both parts) | $81.28 | $125.89 | $165.96 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $45.71 | $53.70 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $79.43 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $33.11 | $97.72 | $251.19 |
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 $87.10 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $87.10 | $107.15 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $33.88 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $58.88 | $74.13 | $138.04 |
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 $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
6 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 $38.90 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $23.44 | Professional | 53 · Discontinued | $15.49 | $16.22 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $66.07 Typical High $87.10 | Professional | FX · Film X-ray | $61.66 | $66.07 | $87.10 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $74.13 Median $89.13 Typical High $97.72 | Professional | 59 · Distinct service | $74.13 | $89.13 | $97.72 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $70.79 | $70.79 | $89.13 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | SA · Nurse practitioner | $75.86 | $75.86 | $89.13 |
Where Florida sits
The same service costs 3.8 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
$95.50
AK $355TX $93.33
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.