How much rates vary
Facilitymedian $89 · 10th to 90th $48 to $151Professionalmedian $120 · 10th to 90th $85 to $229
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 $45.71 Median $107.15 Typical High $323.59 | Facility | None | $45.71 | $107.15 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $107.15 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $70.79 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $38.90 | $42.66 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $107.15 | $107.15 | $154.88 |
AvMed Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $120.23 | Facility | None | $47.86 | $89.13 | $120.23 |
AvMed Setting Professional Modifier None (both parts) Typical Low $43.65 Median $77.62 Typical High $109.65 | Professional | None (both parts) | $43.65 | $77.62 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $269.15 | Facility | None | $104.71 | $147.91 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $112.20 | $120.23 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $75.86 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $41.69 | $44.67 | $74.13 |
Florida Blue Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $79.43 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $79.43 | $173.78 | $199.53 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $109.65 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $69.18 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $69.18 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $389.05 | Professional | None (both parts) | $74.13 | $112.20 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $123.03 | $144.54 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $87.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $58.88 | $79.43 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $162.18 | $162.18 | $186.21 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
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 $53.70 Median $57.54 Typical High $72.44 | Professional | 52 · Reduced service | $53.70 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $22.91 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $91.20 Typical High $104.71 | Professional | FX · Film X-ray | $85.11 | $91.20 | $104.71 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 51st of 51
$120
AK $501FL $120
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.