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 $251.19 Median $1,174.90 Typical High $2,398.83 | Facility | None | $251.19 | $1,174.90 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $251.19 | $371.54 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $87.10 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $269.15 Typical High $562.34 | Professional | TC · Technical part | $186.21 | $269.15 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $213.80 | $269.15 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $66.07 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $66.07 | $74.13 |
AvMed Setting Facility Modifier None Typical Low $173.78 Median $331.13 Typical High $616.60 | Facility | None | $173.78 | $331.13 | $616.60 |
AvMed Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $562.34 | Professional | None (both parts) | $213.80 | $275.42 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $1,023.29 Typical High $1,258.93 | Facility | None | $199.53 | $1,023.29 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $1,230.27 | Professional | None (both parts) | $245.47 | $501.19 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $66.07 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $389.05 Typical High $1,071.52 | Professional | TC · Technical part | $186.21 | $389.05 | $1,071.52 |
Florida Blue Setting Facility Modifier None Typical Low $831.76 Median $2,238.72 Typical High $4,786.30 | Facility | None | $831.76 | $2,238.72 | $4,786.30 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $398.11 Median $758.58 Typical High $977.24 | Professional | None (both parts) | $398.11 | $758.58 | $977.24 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $97.72 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $660.69 Typical High $870.96 | Professional | TC · Technical part | $338.84 | $660.69 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $89.13 | $275.42 | $660.69 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $933.25 | Professional | None (both parts) | $281.84 | $426.58 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $75.86 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $812.83 | Professional | TC · Technical part | $223.87 | $354.81 | $812.83 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
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 $251.19 | Professional | 52 · Reduced service | $125.89 | $125.89 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $102.33 | Professional | 53 · Discontinued | $50.12 | $50.12 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | FX · Film X-ray | $199.53 | $199.53 | $380.19 |
Where Florida sits
The same service costs 5.6 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
$309
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.