How much rates vary
Facilitymedian $83 · 10th to 90th $39 to $229Professionalmedian $40 · 10th to 90th $31 to $78
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 $33.11 Median $35.48 Typical High $323.59 | Facility | None | $33.11 | $35.48 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $33.11 | $38.02 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $11.22 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $23.44 | $26.92 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $37.15 | $42.66 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $11.75 | $27.54 |
AvMed Setting Facility Modifier None Typical Low $38.90 Median $57.54 Typical High $109.65 | Facility | None | $38.90 | $57.54 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $30.90 Median $38.90 Typical High $42.66 | Professional | None (both parts) | $30.90 | $38.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $338.84 | Facility | None | $67.61 | $104.71 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $100.00 | Professional | None (both parts) | $35.48 | $41.69 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $28.18 | Professional | 26 · Professional part | $10.23 | $10.47 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.84 Typical High $75.86 | Professional | TC · Technical part | $25.12 | $28.84 | $75.86 |
Florida Blue Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $54.95 | Facility | None | $47.86 | $47.86 | $54.95 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $40.74 | $57.54 | $72.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.22 Typical High $20.42 | Professional | 26 · Professional part | $10.96 | $16.22 | $20.42 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $28.84 | $41.69 | $52.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $37.15 Typical High $75.86 | Professional | None (both parts) | $12.02 | $37.15 | $75.86 |
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 $34.67 Median $42.66 Typical High $95.50 | Professional | None (both parts) | $34.67 | $42.66 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $26.92 | Professional | 26 · Professional part | $9.77 | $12.02 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $30.90 | $69.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | TC · Technical part | $28.84 | $28.84 | $28.84 |
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 FX · Film X-ray Typical Low $26.30 Median $28.18 Typical High $39.81 | Professional | FX · Film X-ray | $26.30 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $37.15 Median $42.66 Typical High $42.66 | Professional | GA · Liability notice issued | $37.15 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | Q6 · Substitute physician, paid per time | $42.66 | $42.66 | $42.66 |
Where Florida sits
The same service costs 4.7 times more in Alaska than in Utah. 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
$39.81
AK $155UT $33.11
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.