How much rates vary
Facilitymedian $145 · 10th to 90th $56 to $288Professionalmedian $79 · 10th to 90th $52 to $191
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 $323.59 | Facility | None | $67.61 | $70.79 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $70.79 Typical High $114.82 | Professional | None (both parts) | $67.61 | $70.79 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $33.11 | Professional | 26 · Professional part | $20.42 | $20.89 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $50.12 Typical High $81.28 | Professional | TC · Technical part | $46.77 | $50.12 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $213.80 | Professional | None (both parts) | $69.18 | $69.18 | $213.80 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $91.20 Typical High $147.91 | Facility | None | $66.07 | $91.20 | $147.91 |
AvMed Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $77.62 | Professional | None (both parts) | $56.23 | $67.61 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $234.42 | Facility | None | $114.82 | $186.21 | $234.42 |
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 $21.38 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $21.38 | $21.88 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $125.89 | Professional | TC · Technical part | $47.86 | $51.29 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $154.88 Typical High $331.13 | Facility | None | $56.23 | $154.88 | $331.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $69.18 | $100.00 | $141.25 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $33.88 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $69.18 | $102.33 |
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 $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 $70.79 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $70.79 | $85.11 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $26.30 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $60.26 | $117.49 |
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 $19.95 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $19.95 | $19.95 | $19.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | TC · Technical part | $46.77 | $46.77 | $46.77 |
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 $33.88 Median $35.48 Typical High $48.98 | Professional | 52 · Reduced service | $33.88 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $19.50 | Professional | 53 · Discontinued | $13.49 | $14.13 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $56.23 Typical High $72.44 | Professional | FX · Film X-ray | $53.70 | $56.23 | $72.44 |
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
$79.43
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.