How much rates vary
Facilitymedian $107 · 10th to 90th $35 to $282Professionalmedian $54 · 10th to 90th $32 to $151
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 $37.15 Median $38.90 Typical High $95.50 | Facility | None | $37.15 | $38.90 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $169.82 | Professional | None (both parts) | $37.15 | $48.98 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $26.30 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $131.83 | Professional | TC · Technical part | $16.98 | $22.91 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $63.10 | Professional | None (both parts) | $46.77 | $53.70 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $25.12 | $58.88 |
AvMed Setting Facility Modifier None Typical Low $31.62 Median $41.69 Typical High $77.62 | Facility | None | $31.62 | $41.69 | $77.62 |
AvMed Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $26.30 | $33.11 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $104.71 Typical High $165.96 | Facility | None | $69.18 | $104.71 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $181.97 | Professional | None (both parts) | $40.74 | $46.77 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $21.88 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $19.95 Typical High $141.25 | Professional | TC · Technical part | $19.05 | $19.95 | $141.25 |
Florida Blue Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $331.13 | Facility | None | $107.15 | $154.88 | $331.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $158.49 | Professional | None (both parts) | $45.71 | $79.43 | $158.49 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $37.15 | $44.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $21.88 | $36.31 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $57.54 Typical High $138.04 | Professional | None (both parts) | $26.92 | $57.54 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $165.96 | Professional | None (both parts) | $42.66 | $58.88 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $27.54 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $134.90 | Professional | TC · Technical part | $19.05 | $26.30 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | TC · Technical part | $25.70 | $25.70 | $25.70 |
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 $18.62 Median $19.50 Typical High $30.90 | Professional | 52 · Reduced service | $18.62 | $19.50 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.94 Typical High $12.30 | Professional | 53 · Discontinued | $7.59 | $7.94 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $31.62 Typical High $43.65 | Professional | FX · Film X-ray | $30.20 | $31.62 | $43.65 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $42.66 Median $52.48 Typical High $60.26 | Professional | 59 · Distinct service | $42.66 | $52.48 | $60.26 |
Where Florida sits
The same service costs 4.6 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· 49th of 51
$53.70
AK $209TX $45.71
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.