How much rates vary
Facilitymedian $162 · 10th to 90th $95 to $251Professionalmedian $107 · 10th to 90th $72 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 $87.10 Median $134.90 Typical High $229.09 | Facility | None | $87.10 | $134.90 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $89.13 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $38.90 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $97.72 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $77.62 | $97.72 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $20.42 | $28.18 | $45.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $58.88 | $70.79 | $93.33 |
AvMed Setting Facility Modifier None Typical Low $87.10 Median $95.50 Typical High $194.98 | Facility | None | $87.10 | $95.50 | $194.98 |
AvMed Setting Professional Modifier None (both parts) Typical Low $69.18 Median $93.33 Typical High $100.00 | Professional | None (both parts) | $69.18 | $93.33 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $309.03 | Facility | None | $177.83 | $257.04 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $251.19 | Professional | None (both parts) | $87.10 | $100.00 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $69.18 | Professional | 26 · Professional part | $25.70 | $26.30 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $70.79 Typical High $181.97 | Professional | TC · Technical part | $61.66 | $70.79 | $181.97 |
Florida Blue Setting Facility Modifier None Typical Low $162.18 Median $169.82 Typical High $177.83 | Facility | None | $162.18 | $169.82 | $177.83 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $69.18 | Facility | 26 · Professional part | $66.07 | $66.07 | $69.18 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $169.82 Typical High $177.83 | Facility | TC · Technical part | $162.18 | $169.82 | $177.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $91.20 | $151.36 | $208.93 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $40.74 | $57.54 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $66.07 | $107.15 | $151.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $100.00 Typical High $245.47 | Professional | None (both parts) | $36.31 | $100.00 | $245.47 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $100.00 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $33.88 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $87.10 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $66.07 | $66.07 | $66.07 |
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 $70.79 Median $107.15 Typical High $112.20 | Professional | FX · Film X-ray | $70.79 | $107.15 | $112.20 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $18.62 | $24.55 | $25.70 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | GA · Liability notice issued | $102.33 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | Q6 · Substitute physician, paid per time | $79.43 | $79.43 | $97.72 |
Where Florida sits
The same service costs 5.4 times more in Vermont 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
$107
VT $550TX $102
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.