How much rates vary
Facilitymedian $692 · 10th to 90th $39 to $2,089Professionalmedian $110 · 10th to 90th $35 to $251
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 $89.13 Typical High $575.44 | Facility | None | $87.10 | $89.13 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $87.10 | $120.23 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $95.50 Typical High $186.21 | Professional | 26 · Professional part | $69.18 | $95.50 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $77.62 | Professional | TC · Technical part | $16.22 | $24.55 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $181.97 | Professional | None (both parts) | $114.82 | $114.82 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $97.72 | $158.49 |
AvMed Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $575.44 | Facility | None | $33.11 | $41.69 | $575.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $30.20 Median $37.15 Typical High $208.93 | Professional | None (both parts) | $30.20 | $37.15 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $660.69 Typical High $1,122.02 | Facility | None | $38.90 | $660.69 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $158.49 Typical High $416.87 | Professional | None (both parts) | $97.72 | $158.49 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $112.20 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $194.98 | Professional | TC · Technical part | $21.88 | $34.67 | $194.98 |
Florida Blue Setting Facility Modifier None Typical Low $954.99 Median $1,621.81 Typical High $2,454.71 | Facility | None | $954.99 | $1,621.81 | $2,454.71 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $562.34 | Professional | None (both parts) | $100.00 | $112.20 | $562.34 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $74.13 | $81.28 | $125.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $29.51 Typical High $446.68 | Professional | TC · Technical part | $26.30 | $29.51 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $30.90 | $104.71 | $177.83 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Facility | None | $645.65 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $151.36 Typical High $436.52 | Professional | None (both parts) | $54.95 | $151.36 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $109.65 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.02 Typical High $281.84 | Professional | TC · Technical part | $19.95 | $38.02 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $100.00 | $100.00 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $74.13 | $74.13 | $104.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $26.92 | $26.92 | $37.15 |
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 $42.66 Median $44.67 Typical High $85.11 | Professional | 52 · Reduced service | $42.66 | $44.67 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $33.88 | Professional | 53 · Discontinued | $17.38 | $17.78 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $72.44 Typical High $104.71 | Professional | FX · Film X-ray | $69.18 | $72.44 | $104.71 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $114.82 Median $114.82 Typical High $123.03 | Professional | 59 · Distinct service | $114.82 | $114.82 | $123.03 |
Where Florida sits
The same service costs 5.1 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
$112
AK $575FL $112
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.