How much rates vary
Facilitymedian $145 · 10th to 90th $60 to $324Professionalmedian $105 · 10th to 90th $68 to $257
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 $74.13 Median $77.62 Typical High $323.59 | Facility | None | $74.13 | $77.62 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $74.13 | $77.62 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $24.55 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $117.49 | Professional | TC · Technical part | $48.98 | $52.48 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $89.13 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $28.84 | $51.29 |
AvMed Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $190.55 | Facility | None | $85.11 | $93.33 | $190.55 |
AvMed Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $63.10 | $77.62 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $169.82 Typical High $275.42 | Facility | None | $102.33 | $169.82 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $239.88 | Professional | None (both parts) | $93.33 | $97.72 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $64.57 | Professional | 26 · Professional part | $25.12 | $25.70 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $177.83 | Professional | TC · Technical part | $69.18 | $72.44 | $177.83 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $165.96 Typical High $354.81 | Facility | None | $60.26 | $165.96 | $354.81 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $89.13 | $134.90 | $190.55 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $40.74 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $93.33 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $33.11 | $120.23 | $281.84 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $93.33 | $114.82 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $87.10 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
3 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 $36.31 Median $38.90 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $15.49 Typical High $22.91 | Professional | 53 · Discontinued | $14.79 | $15.49 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $61.66 Typical High $81.28 | Professional | FX · Film X-ray | $58.88 | $61.66 | $81.28 |
Where Florida sits
The same service costs 3.7 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· 48th of 51
$105
AK $363TX $97.72
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.