How much rates vary
Facilitymedian $126 · 10th to 90th $38 to $339Professionalmedian $50 · 10th to 90th $32 to $126
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 $38.02 Median $39.81 Typical High $89.13 | Facility | None | $38.02 | $39.81 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $117.49 | Professional | None (both parts) | $38.02 | $45.71 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $19.05 | $22.39 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $75.86 | Professional | TC · Technical part | $19.05 | $23.44 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $47.86 Typical High $54.95 | Professional | None (both parts) | $38.02 | $47.86 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $21.88 | $26.30 |
AvMed Setting Facility Modifier None Typical Low $32.36 Median $47.86 Typical High $109.65 | Facility | None | $32.36 | $47.86 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $89.13 | Professional | None (both parts) | $27.54 | $34.67 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $346.74 | Facility | None | $138.04 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $134.90 | Professional | None (both parts) | $40.74 | $46.77 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $20.42 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $79.43 | Professional | TC · Technical part | $21.38 | $23.44 | $79.43 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $144.54 Typical High $309.03 | Facility | None | $56.23 | $144.54 | $309.03 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $44.67 Median $77.62 Typical High $100.00 | Professional | None (both parts) | $44.67 | $77.62 | $100.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $32.36 | $38.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $23.44 | $38.90 | $64.57 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $58.88 Typical High $138.04 | Professional | None (both parts) | $26.30 | $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 $42.66 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $42.66 | $60.26 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $24.55 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $75.86 | Professional | TC · Technical part | $21.88 | $30.20 | $75.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 26 · Professional part | $20.89 | $20.89 | $20.89 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | TC · Technical part | $26.30 | $26.30 | $26.30 |
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 $19.05 Median $19.95 Typical High $31.62 | Professional | 52 · Reduced service | $19.05 | $19.95 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $12.88 | Professional | 53 · Discontinued | $7.59 | $7.94 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $32.36 Typical High $44.67 | Professional | FX · Film X-ray | $30.20 | $32.36 | $44.67 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $39.81 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $39.81 | $50.12 | $50.12 |
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 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
$50.12
AK $182TX $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.