How much rates vary
Facilitymedian $200 · 10th to 90th $31 to $380Professionalmedian $32 · 10th to 90th $24 to $87
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 $23.99 Median $40.74 Typical High $208.93 | Facility | None | $23.99 | $40.74 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $63.10 | Facility | TC · Technical part | $17.78 | $20.42 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $97.72 | Professional | None (both parts) | $23.99 | $33.11 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $6.31 | $8.32 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $24.55 Typical High $79.43 | Professional | TC · Technical part | $17.78 | $24.55 | $79.43 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.90 Typical High $36.31 | Professional | None (both parts) | $23.44 | $30.90 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $5.37 | $7.59 | $12.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $19.50 | $19.50 | $31.62 |
AvMed Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $109.65 | Facility | None | $28.84 | $42.66 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $77.62 | Professional | None (both parts) | $24.55 | $30.20 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $162.18 Typical High $234.42 | Facility | None | $63.10 | $162.18 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $123.03 | Professional | None (both parts) | $25.70 | $33.11 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $19.05 | Professional | 26 · Professional part | $6.61 | $7.08 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $107.15 | Professional | TC · Technical part | $19.50 | $23.99 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $562.34 | Facility | None | $199.53 | $199.53 | $562.34 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | 26 · Professional part | $199.53 | $199.53 | $204.17 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $204.17 | Facility | TC · Technical part | $199.53 | $199.53 | $204.17 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $30.20 Median $53.70 Typical High $112.20 | Professional | None (both parts) | $30.20 | $53.70 | $112.20 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $6.92 | $10.96 | $14.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $102.33 | Professional | TC · Technical part | $22.39 | $39.81 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.76 Median $32.36 Typical High $74.13 | Professional | None (both parts) | $7.76 | $32.36 | $74.13 |
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 $26.30 Median $39.81 Typical High $95.50 | Professional | None (both parts) | $26.30 | $39.81 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.94 Typical High $18.20 | Professional | 26 · Professional part | $6.46 | $7.94 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.20 Typical High $74.13 | Professional | TC · Technical part | $19.50 | $30.20 | $74.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 26 · Professional part | $7.08 | $7.08 | $7.08 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
5 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 $19.50 Median $20.42 Typical High $29.51 | Professional | FX · Film X-ray | $19.50 | $20.42 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $23.44 Median $33.11 Typical High $35.48 | Professional | 59 · Distinct service | $23.44 | $33.11 | $35.48 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | GA · Liability notice issued | $26.92 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | Q6 · Substitute physician, paid per time | $30.90 | $30.90 | $30.90 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | XU · Unusual separate service | $32.36 | $32.36 | $32.36 |
Where Florida sits
The same service costs 4.2 times more in Vermont 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
$32.36
VT $135FL $32.36
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.