How much rates vary
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 $51.29 Median $54.95 Typical High $186.21 | Facility | None | $51.29 | $54.95 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $114.82 | Professional | None | $51.29 | $54.95 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $131.83 | Professional | None | $70.79 | $75.86 | $131.83 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $100.00 Typical High $141.25 | Facility | None | $79.43 | $100.00 | $141.25 |
AvMed Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $100.00 | Professional | None | $56.23 | $83.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $181.97 Typical High $398.11 | Facility | None | $74.13 | $181.97 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $165.96 | Professional | None | $58.88 | $81.28 | $165.96 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $257.04 | Facility | None | $251.19 | $257.04 | $257.04 |
Florida Blue Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $120.23 | Professional | None | $63.10 | $69.18 | $120.23 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $102.33 Typical High $173.78 | Professional | None | $38.90 | $102.33 | $173.78 |
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 Typical Low $51.29 Median $75.86 Typical High $141.25 | Professional | None | $51.29 | $75.86 | $141.25 |
Wellpoint Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $89.13 | Professional | None | $35.48 | $35.48 | $89.13 |
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 52 · Reduced service Typical Low $25.70 Median $27.54 Typical High $43.65 | Professional | 52 · Reduced service | $25.70 | $27.54 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $17.38 | Professional | 53 · Discontinued | $10.23 | $10.96 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $43.65 Typical High $61.66 | Professional | FX · Film X-ray | $40.74 | $43.65 | $61.66 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $63.10 Median $70.79 Typical High $70.79 | Professional | 59 · Distinct service | $63.10 | $70.79 | $70.79 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | Q6 · Substitute physician, paid per time | $75.86 | $75.86 | $89.13 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 50th of 51
$83.18
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.