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 $263.03 Median $1,380.38 Typical High $2,398.83 | Facility | None | $263.03 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $251.19 | $275.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $66.07 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $380.19 | Professional | TC · Technical part | $186.21 | $186.21 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $151.36 | $162.18 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $50.12 | $50.12 | $69.18 |
AvMed Setting Facility Modifier None Typical Low $109.65 Median $208.93 Typical High $380.19 | Facility | None | $109.65 | $208.93 | $380.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $354.81 | Professional | None (both parts) | $131.83 | $169.82 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $537.03 Typical High $758.58 | Facility | None | $134.90 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $323.59 Typical High $724.44 | Professional | None (both parts) | $162.18 | $323.59 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $50.12 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $50.12 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $239.88 Typical High $588.84 | Professional | TC · Technical part | $114.82 | $239.88 | $588.84 |
Florida Blue Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $2,238.72 | Facility | None | $426.58 | $1,621.81 | $2,238.72 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $218.78 | $389.05 | $501.19 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $69.18 | $91.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $302.00 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $50.12 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $50.12 | $186.21 | $416.87 |
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 $186.21 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $186.21 | $269.15 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $56.23 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $467.74 | Professional | TC · Technical part | $147.91 | $213.80 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $47.86 | $47.86 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | TC · Technical part | $125.89 | $125.89 | $125.89 |
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 $125.89 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $50.12 | $50.12 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $338.84 |
Where Florida sits
The same service costs 5.8 times more in Wyoming than in Utah. 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· 49th of 51
$245
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.