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 $23.99 Median $25.12 Typical High $323.59 | Facility | None | $23.99 | $25.12 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.12 Typical High $38.02 | Professional | None (both parts) | $23.99 | $25.12 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $5.62 Typical High $8.32 | Professional | 26 · Professional part | $5.50 | $5.62 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $19.50 Typical High $30.20 | Professional | TC · Technical part | $18.62 | $19.50 | $30.20 |
AvMed Setting Facility Modifier None Typical Low $27.54 Median $40.74 Typical High $91.20 | Facility | None | $27.54 | $40.74 | $91.20 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $23.44 | $28.84 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $104.71 Typical High $194.98 | Facility | None | $81.28 | $104.71 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.84 Typical High $67.61 | Professional | None (both parts) | $25.70 | $28.84 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.03 Typical High $16.22 | Professional | 26 · Professional part | $5.75 | $6.03 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.38 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $21.38 | $53.70 |
Florida Blue Setting Facility Modifier None Typical Low $26.30 Median $67.61 Typical High $144.54 | Facility | None | $26.30 | $67.61 | $144.54 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $26.30 | $37.15 | $46.77 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $9.77 Typical High $12.02 | Professional | 26 · Professional part | $6.03 | $9.77 | $12.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $34.67 | Professional | TC · Technical part | $19.50 | $26.92 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.76 Median $31.62 Typical High $74.13 | Professional | None (both parts) | $6.76 | $31.62 | $74.13 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $26.92 | $31.62 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.41 Typical High $14.45 | Professional | 26 · Professional part | $6.46 | $7.41 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $46.77 | Professional | TC · Technical part | $19.95 | $23.99 | $46.77 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None (both parts) | $28.18 | $28.18 | $28.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | 26 · Professional part | $6.17 | $6.17 | $6.17 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $22.39 | $22.39 | $22.39 |
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 $12.02 Median $12.59 Typical High $19.50 | Professional | 52 · Reduced service | $12.02 | $12.59 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.13 Typical High $7.76 | Professional | 53 · Discontinued | $4.79 | $5.13 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $20.42 Typical High $29.51 | Professional | FX · Film X-ray | $19.05 | $20.42 | $29.51 |
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
$29.51
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.