How much rates vary
Facilitymedian $257 · 10th to 90th $43 to $275Professionalmedian $52 · 10th to 90th $30 to $102
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 $42.66 Median $44.67 Typical High $323.59 | Facility | None | $42.66 | $44.67 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $42.66 | $60.26 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $29.51 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $30.20 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $50.12 | $54.95 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $30.90 | $48.98 |
AvMed Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $141.25 | Facility | None | $28.84 | $36.31 | $141.25 |
AvMed Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $48.98 | Professional | None (both parts) | $28.18 | $34.67 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $181.97 Typical High $275.42 | Facility | None | $34.67 | $181.97 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $45.71 | $70.79 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $34.67 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $79.43 | Professional | TC · Technical part | $22.39 | $35.48 | $79.43 |
Florida Blue Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $275.42 | Facility | None | $186.21 | $257.04 | $275.42 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $45.71 | $51.29 | $89.13 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $22.91 | $25.12 | $38.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $26.30 | $54.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $25.70 | $43.65 | $83.18 |
United Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $169.82 | Facility | None | $154.88 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $47.86 | $67.61 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $33.11 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $26.30 | $38.02 | $61.66 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $47.86 | $47.86 | $66.07 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $23.44 | $23.44 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $24.55 | $24.55 | $33.11 |
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 52 · Reduced service Typical Low $21.38 Median $22.39 Typical High $36.31 | Professional | 52 · Reduced service | $21.38 | $22.39 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $14.45 | Professional | 53 · Discontinued | $8.51 | $8.91 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $35.48 Typical High $50.12 | Professional | FX · Film X-ray | $33.88 | $35.48 | $50.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 59 · Distinct service | $52.48 | $52.48 | $52.48 |
Where Florida sits
The same service costs 4.7 times more in Alaska 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
$54.95
AK $257FL $54.95
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.