How much rates vary
Facilitymedian $107 · 10th to 90th $44 to $380Professionalmedian $71 · 10th to 90th $36 to $186
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 $58.88 Median $61.66 Typical High $323.59 | Facility | None | $58.88 | $61.66 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $128.82 | Professional | None (both parts) | $58.88 | $61.66 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $31.62 | $32.36 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $29.51 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $74.13 | $74.13 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
AvMed Setting Facility Modifier None Typical Low $39.81 Median $52.48 Typical High $97.72 | Facility | None | $39.81 | $52.48 | $97.72 |
AvMed Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $33.88 | $43.65 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $138.04 Typical High $213.80 | Facility | None | $107.15 | $138.04 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $169.82 | Professional | None (both parts) | $61.66 | $67.61 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $33.88 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $81.28 | Professional | TC · Technical part | $28.18 | $29.51 | $81.28 |
Florida Blue Setting Facility Modifier None Typical Low $53.70 Median $213.80 Typical High $446.68 | Facility | None | $53.70 | $213.80 | $446.68 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $63.10 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $63.10 | $117.49 | $281.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $64.57 | $109.65 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $53.70 Typical High $169.82 | Professional | TC · Technical part | $29.51 | $53.70 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $208.93 | Professional | None (both parts) | $33.11 | $69.18 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $64.57 | $79.43 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $38.90 | $74.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $31.62 | $31.62 | $31.62 |
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 $29.51 Median $30.90 Typical High $43.65 | Professional | 52 · Reduced service | $29.51 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.30 Typical High $17.78 | Professional | 53 · Discontinued | $11.75 | $12.30 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $66.07 | Professional | FX · Film X-ray | $46.77 | $48.98 | $66.07 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 59 · Distinct service | $69.18 | $69.18 | $70.79 |
Where Florida sits
The same service costs 4.2 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· 50th of 51
$70.79
AK $275TX $66.07
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.