How much rates vary
Facilitymedian $1,349 · 10th to 90th $214 to $2,512Professionalmedian $229 · 10th to 90th $46 to $447
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 $173.78 Median $186.21 Typical High $323.59 | Facility | None | $173.78 | $186.21 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $269.15 | Professional | None (both parts) | $173.78 | $186.21 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $16.60 | $16.60 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $158.49 | $169.82 | $245.47 |
AvMed Setting Facility Modifier None Typical Low $213.80 Median $316.23 Typical High $1,348.96 | Facility | None | $213.80 | $316.23 | $1,348.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $295.12 | Professional | None (both parts) | $181.97 | $234.42 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $977.24 Typical High $1,380.38 | Facility | None | $398.11 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $169.82 | $269.15 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $24.55 Typical High $67.61 | Professional | 26 · Professional part | $16.98 | $24.55 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $229.09 Typical High $602.56 | Professional | TC · Technical part | $151.36 | $229.09 | $602.56 |
Florida Blue Setting Facility Modifier None Typical Low $181.97 Median $2,511.89 Typical High $2,511.89 | Facility | None | $181.97 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | 26 · Professional part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | TC · Technical part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $165.96 | $186.21 | $446.68 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $38.90 | Professional | 26 · Professional part | $16.60 | $19.05 | $38.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $169.82 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $28.18 | $239.88 | $457.09 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $54.95 | $239.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $234.42 | $426.58 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $190.55 | $190.55 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 26 · Professional part | $18.62 | $18.62 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $173.78 | $223.87 |
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 $87.10 Median $93.33 Typical High $134.90 | Professional | 52 · Reduced service | $87.10 | $93.33 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $53.70 | Professional | 53 · Discontinued | $35.48 | $37.15 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | FX · Film X-ray | $141.25 | $141.25 | $199.53 |
Where Florida sits
The same service costs 4.3 times more in Alaska than in Texas. 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
$240
AK $1,000TX $234
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.