How much rates vary
Facilitymedian $115 · 10th to 90th $68 to $234Professionalmedian $158 · 10th to 90th $91 to $347
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 $125.89 Median $134.90 Typical High $323.59 | Facility | None | $125.89 | $134.90 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $125.89 | $134.90 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $64.57 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $75.86 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $158.49 | $162.18 | $229.09 |
AvMed Setting Facility Modifier None Typical Low $104.71 Median $138.04 Typical High $257.04 | Facility | None | $104.71 | $138.04 | $257.04 |
AvMed Setting Professional Modifier None (both parts) Typical Low $66.07 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $66.07 | $97.72 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $316.23 | Facility | None | $87.10 | $123.03 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $346.74 | Professional | None (both parts) | $131.83 | $138.04 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $60.26 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $77.62 | $190.55 |
Florida Blue Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $131.83 | $190.55 | $275.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $60.26 | $100.00 | $125.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $102.33 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $177.83 Typical High $407.38 | Professional | None (both parts) | $83.18 | $177.83 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $131.83 | $165.96 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $91.20 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $83.18 | $83.18 | $83.18 |
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 $63.10 Median $66.07 Typical High $91.20 | Professional | 52 · Reduced service | $63.10 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $26.92 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $26.92 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $107.15 Typical High $134.90 | Professional | FX · Film X-ray | $102.33 | $107.15 | $134.90 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | 59 · Distinct service | $158.49 | $158.49 | $218.78 |
Where Florida sits
The same service costs 5.8 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· 48th of 51
$158
AK $589UT $102
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.