How much rates vary
Facilitymedian $447 · 10th to 90th $126 to $646Professionalmedian $115 · 10th to 90th $56 to $302
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 $70.79 Median $72.44 Typical High $323.59 | Facility | None | $70.79 | $72.44 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $72.44 Typical High $109.65 | Professional | None (both parts) | $70.79 | $72.44 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $42.66 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $29.51 Typical High $42.66 | Professional | TC · Technical part | $27.54 | $29.51 | $42.66 |
AvMed Setting Facility Modifier None Typical Low $61.66 Median $239.88 Typical High $389.05 | Facility | None | $61.66 | $239.88 | $389.05 |
AvMed Setting Professional Modifier None (both parts) Typical Low $50.12 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $50.12 | $131.83 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $467.74 Typical High $660.69 | Facility | None | $131.83 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $257.04 | Professional | None (both parts) | $72.44 | $91.20 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $54.95 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $104.71 | Professional | TC · Technical part | $28.84 | $36.31 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $125.89 Median $446.68 Typical High $616.60 | Facility | None | $125.89 | $446.68 | $616.60 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | 26 · Professional part | $436.52 | $446.68 | $446.68 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $436.52 | $446.68 | $446.68 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $144.54 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $144.54 | $302.00 | $302.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $70.79 | $107.15 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $128.82 | $181.97 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $346.74 | Professional | None (both parts) | $51.29 | $85.11 | $346.74 |
United Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $295.12 | Facility | None | $269.15 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $54.95 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $54.95 | $131.83 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $239.88 | $302.00 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $48.98 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $239.88 | $245.47 | $245.47 |
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 $34.67 Median $36.31 Typical High $54.95 | Professional | 52 · Reduced service | $34.67 | $36.31 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.45 Typical High $21.88 | Professional | 53 · Discontinued | $14.13 | $14.45 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $58.88 Typical High $75.86 | Professional | FX · Film X-ray | $56.23 | $58.88 | $75.86 |
Where Florida sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 38th of 51
$145
NE $537NJ $115
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.