How much rates vary
Facilitymedian $89 · 10th to 90th $48 to $229Professionalmedian $93 · 10th to 90th $55 to $200
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 $173.78 | Facility | None | $74.13 | $77.62 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $77.62 Typical High $177.83 | Professional | None (both parts) | $74.13 | $77.62 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.88 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $21.88 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $58.88 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $85.11 | $93.33 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $21.88 | $47.86 |
AvMed Setting Facility Modifier None Typical Low $72.44 Median $91.20 Typical High $199.53 | Facility | None | $72.44 | $91.20 | $199.53 |
AvMed Setting Professional Modifier None (both parts) Typical Low $46.77 Median $77.62 Typical High $97.72 | Professional | None (both parts) | $46.77 | $77.62 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $165.96 Typical High $169.82 | Facility | None | $77.62 | $165.96 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $66.07 | $83.18 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $19.95 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $61.66 Typical High $107.15 | Professional | TC · Technical part | $43.65 | $61.66 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $245.47 | Facility | None | $45.71 | $70.79 | $245.47 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $112.20 | Professional | None (both parts) | $66.07 | $81.28 | $112.20 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $19.05 | $20.42 | $26.30 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $63.10 Typical High $81.28 | Professional | TC · Technical part | $40.74 | $63.10 | $81.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $37.15 | $117.49 | $245.47 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $57.54 | $85.11 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $19.95 | $23.44 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $37.15 | $61.66 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $117.49 | Professional | None (both parts) | $64.57 | $64.57 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $14.45 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $50.12 | $91.20 |
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 FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | FX · Film X-ray | $58.88 | $58.88 | $75.86 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $93.33 Median $100.00 Typical High $109.65 | Professional | 59 · Distinct service | $93.33 | $100.00 | $109.65 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | XS · Separate structure | $93.33 | $93.33 | $93.33 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | XU · Unusual separate service | $93.33 | $93.33 | $93.33 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in New York. 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
$93.33
AK $355NY $79.43
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.