How much rates vary
Facilitymedian $200 · 10th to 90th $6 to $7,079Professionalmedian $6 · 10th to 90th $4 to $19
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 $3.31 Median $5.13 Typical High $323.59 | Facility | None | $3.31 | $5.13 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4.79 Median $5.13 Typical High $8.51 | Professional | None (both parts) | $4.79 | $5.13 | $8.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $1.91 Median $2.00 Typical High $2.75 | Professional | 26 · Professional part | $1.91 | $2.00 | $2.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.88 Median $3.16 Typical High $5.25 | Professional | TC · Technical part | $2.88 | $3.16 | $5.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None (both parts) | $6.03 | $6.03 | $6.03 |
AvMed Setting Facility Modifier None Typical Low $5.01 Median $7.59 Typical High $109.65 | Facility | None | $5.01 | $7.59 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $4.27 Median $5.01 Typical High $14.13 | Professional | None (both parts) | $4.27 | $5.01 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $97.72 Typical High $218.78 | Facility | None | $4.57 | $97.72 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.01 Median $5.89 Typical High $25.70 | Professional | None (both parts) | $5.01 | $5.89 | $25.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.00 Median $2.09 Typical High $5.50 | Professional | 26 · Professional part | $2.00 | $2.09 | $5.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.47 Typical High $20.89 | Professional | TC · Technical part | $3.02 | $3.47 | $20.89 |
Florida Blue Setting Facility Modifier None Typical Low $32.36 Median $204.17 Typical High $8,317.64 | Facility | None | $32.36 | $204.17 | $8,317.64 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $204.17 Typical High $8,317.64 | Facility | 26 · Professional part | $199.53 | $204.17 | $8,317.64 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $204.17 Typical High $8,317.64 | Facility | TC · Technical part | $199.53 | $204.17 | $8,317.64 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $5.75 Median $10.23 Typical High $58.88 | Professional | None (both parts) | $5.75 | $10.23 | $58.88 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $3.24 Typical High $3.98 | Professional | 26 · Professional part | $2.04 | $3.24 | $3.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $6.31 Typical High $56.23 | Professional | TC · Technical part | $3.63 | $6.31 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $1.91 Median $3.72 Typical High $6.46 | Professional | None (both parts) | $1.91 | $3.72 | $6.46 |
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 $5.62 Median $7.59 Typical High $28.84 | Professional | None (both parts) | $5.62 | $7.59 | $28.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.14 Median $2.51 Typical High $5.01 | Professional | 26 · Professional part | $2.14 | $2.51 | $5.01 |
United Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $4.37 Typical High $16.98 | Professional | TC · Technical part | $3.31 | $4.37 | $16.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None (both parts) | $5.25 | $5.25 | $5.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 26 · Professional part | $1.82 | $1.82 | $1.82 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | TC · Technical part | $3.39 | $3.39 | $3.39 |
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 $2.40 Median $2.57 Typical High $4.17 | Professional | 52 · Reduced service | $2.40 | $2.57 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.95 Median $1.02 Typical High $1.70 | Professional | 53 · Discontinued | $0.95 | $1.02 | $1.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $3.80 Median $4.17 Typical High $5.75 | Professional | FX · Film X-ray | $3.80 | $4.17 | $5.75 |
Where Florida sits
The same service costs 4.2 times more in Kansas 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
$5.75
KS $23.99FL $5.75
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.