How much rates vary
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 $54.95 Median $57.54 Typical High $323.59 | Facility | None | $54.95 | $57.54 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $57.54 Typical High $87.10 | Professional | None (both parts) | $54.95 | $57.54 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $18.62 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $39.81 | $60.26 |
AvMed Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $245.47 | Facility | None | $52.48 | $77.62 | $245.47 |
AvMed Setting Professional Modifier None (both parts) Typical Low $44.67 Median $56.23 Typical High $67.61 | Professional | None (both parts) | $44.67 | $56.23 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $616.60 Typical High $870.96 | Facility | None | $316.23 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $64.57 Typical High $158.49 | Professional | None (both parts) | $58.88 | $64.57 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $19.05 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $41.69 | $112.20 |
Florida Blue Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $8,317.64 | Facility | None | $83.18 | $446.68 | $8,317.64 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $58.88 | $100.00 | $114.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $30.90 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $37.15 | $63.10 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $28.18 | $77.62 | $199.53 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $58.88 | $70.79 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $20.42 | $23.99 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $95.50 | Professional | TC · Technical part | $38.02 | $47.86 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
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 $27.54 Median $28.84 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $28.84 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $17.38 | Professional | 53 · Discontinued | $10.96 | $11.75 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $46.77 Typical High $67.61 | Professional | FX · Film X-ray | $43.65 | $46.77 | $67.61 |
Where Florida sits
The same service costs 3.7 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
$67.61
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.