How much rates vary
Facilitymedian $132 · 10th to 90th $60 to $339Professionalmedian $79 · 10th to 90th $47 to $182
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 $67.61 Median $70.79 Typical High $165.96 | Facility | None | $67.61 | $70.79 | $165.96 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $138.04 | Facility | TC · Technical part | $46.77 | $50.12 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $169.82 | Professional | None (both parts) | $67.61 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.70 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $25.70 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $114.82 | Professional | TC · Technical part | $46.77 | $53.70 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $85.11 | Professional | None (both parts) | $61.66 | $77.62 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.99 Typical High $30.20 | Professional | 26 · Professional part | $17.38 | $23.99 | $30.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $72.44 | Professional | TC · Technical part | $52.48 | $56.23 | $72.44 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $97.72 Typical High $147.91 | Facility | None | $66.07 | $97.72 | $147.91 |
AvMed Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $100.00 | Professional | None (both parts) | $56.23 | $72.44 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $218.78 Typical High $346.74 | Facility | None | $93.33 | $218.78 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $181.97 | Professional | None (both parts) | $69.18 | $72.44 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $22.39 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $50.12 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $154.88 Typical High $331.13 | Facility | None | $60.26 | $154.88 | $331.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $56.23 | $89.13 | $123.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $22.39 | $36.31 | $42.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $46.77 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $46.77 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $30.90 | $85.11 | $208.93 |
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 $57.54 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $57.54 | $87.10 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $26.92 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $60.26 Typical High $109.65 | Professional | TC · Technical part | $38.02 | $60.26 | $109.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | TC · Technical part | $38.90 | $38.90 | $38.90 |
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 $33.88 Median $35.48 Typical High $51.29 | Professional | 52 · Reduced service | $33.88 | $35.48 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $20.42 | Professional | 53 · Discontinued | $13.49 | $14.13 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $56.23 Typical High $74.13 | Professional | FX · Film X-ray | $53.70 | $56.23 | $74.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $67.61 Median $69.18 Typical High $83.18 | Professional | 59 · Distinct service | $67.61 | $69.18 | $83.18 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | Q6 · Substitute physician, paid per time | $77.62 | $77.62 | $77.62 |
Where Florida sits
The same service costs 4.2 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· 49th of 51
$81.28
AK $302UT $72.44
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.