How much rates vary
Facilitymedian $2,754 · 10th to 90th $955 to $4,074Professionalmedian $1,148 · 10th to 90th $51 to $1,820
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 $954.99 Median $4,073.80 Typical High $6,456.54 | Facility | None | $954.99 | $4,073.80 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $2,137.96 | Professional | None (both parts) | $954.99 | $954.99 | $2,137.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $117.49 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,659.59 | Professional | TC · Technical part | $831.76 | $831.76 | $1,659.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $467.74 | $467.74 | $630.96 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $1,479.11 Typical High $3,715.35 | Facility | None | $67.61 | $1,479.11 | $3,715.35 |
AvMed Setting Professional Modifier None (both parts) Typical Low $54.95 Median $1,148.15 Typical High $1,513.56 | Professional | None (both parts) | $54.95 | $1,148.15 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $794.33 Median $3,311.31 Typical High $3,630.78 | Facility | None | $794.33 | $3,311.31 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $1,659.59 | Professional | None (both parts) | $389.05 | $645.65 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $47.86 | $60.26 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $524.81 Typical High $1,479.11 | Professional | TC · Technical part | $331.13 | $524.81 | $1,479.11 |
Florida Blue Setting Facility Modifier None Typical Low $1,621.81 Median $2,754.23 Typical High $2,754.23 | Facility | None | $1,621.81 | $2,754.23 | $2,754.23 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Facility | 26 · Professional part | $2,691.53 | $2,754.23 | $2,754.23 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $2,691.53 Median $2,754.23 Typical High $2,754.23 | Facility | TC · Technical part | $2,691.53 | $2,754.23 | $2,754.23 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,479.11 Typical High $2,290.87 | Professional | None (both parts) | $1,096.48 | $1,479.11 | $2,290.87 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $53.70 | $93.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,412.54 Typical High $2,238.72 | Professional | TC · Technical part | $1,047.13 | $1,412.54 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $1,258.93 Typical High $1,513.56 | Professional | None (both parts) | $41.69 | $1,258.93 | $1,513.56 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,659.59 | $1,778.28 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $1,230.27 Typical High $2,137.96 | Professional | None (both parts) | $54.95 | $1,230.27 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $70.79 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,288.25 Typical High $2,238.72 | Professional | TC · Technical part | $977.24 | $1,288.25 | $2,238.72 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,445.44 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,445.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $44.67 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,412.54 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,412.54 |
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 $478.63 Median $478.63 Typical High $707.95 | Professional | 52 · Reduced service | $478.63 | $478.63 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $281.84 | Professional | 53 · Discontinued | $190.55 | $190.55 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $758.58 Typical High $1,047.13 | Professional | FX · Film X-ray | $758.58 | $758.58 | $1,047.13 |
Where Florida sits
The same service costs 3.6 times more in Nebraska than in Montana. 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· 40th of 51
$1,318
NE $3,162MT $871
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.