How much rates vary
Facilitymedian $56 · 10th to 90th $52 to $200Professionalmedian $66 · 10th to 90th $40 to $141
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 $52.48 Median $54.95 Typical High $323.59 | Facility | None | $52.48 | $54.95 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $52.48 | $54.95 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $18.20 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $34.67 | $37.15 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
AvMed Setting Facility Modifier None Typical Low $51.29 Median $67.61 Typical High $125.89 | Facility | None | $51.29 | $67.61 | $125.89 |
AvMed Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $43.65 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $181.97 Typical High $223.87 | Facility | None | $128.82 | $181.97 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $208.93 | Professional | None (both parts) | $53.70 | $72.44 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $72.44 | Professional | 26 · Professional part | $18.62 | $25.12 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $48.98 Typical High $138.04 | Professional | TC · Technical part | $35.48 | $48.98 | $138.04 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $53.70 Median $61.66 Typical High $112.20 | Professional | None (both parts) | $53.70 | $61.66 | $112.20 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $18.20 | $20.89 | $36.31 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $40.74 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $70.79 Typical High $151.36 | Professional | None (both parts) | $28.18 | $70.79 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $131.83 | Professional | None (both parts) | $52.48 | $69.18 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $48.98 | $97.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $58.88 | $58.88 | $79.43 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $19.50 | $19.50 | $26.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $39.81 | $51.29 |
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 52 · Reduced service Typical Low $26.30 Median $27.54 Typical High $39.81 | Professional | 52 · Reduced service | $26.30 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $10.47 | $11.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $56.23 | Professional | FX · Film X-ray | $41.69 | $41.69 | $56.23 |
Where Florida sits
The same service costs 4.6 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
$66.07
AK $302FL $66.07
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.