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 $43.65 Median $46.77 Typical High $123.03 | Facility | None | $43.65 | $46.77 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $43.65 | $53.70 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $12.88 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $33.88 | $39.81 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $48.98 | $56.23 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $12.02 | $12.02 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $46.77 | Professional | TC · Technical part | $43.65 | $43.65 | $46.77 |
AvMed Setting Facility Modifier None Typical Low $54.95 Median $79.43 Typical High $123.03 | Facility | None | $54.95 | $79.43 | $123.03 |
AvMed Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $43.65 | $54.95 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $218.78 Typical High $363.08 | Facility | None | $114.82 | $218.78 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $120.23 | Professional | None (both parts) | $47.86 | $52.48 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $11.22 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $11.22 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $39.81 Typical High $93.33 | Professional | TC · Technical part | $37.15 | $39.81 | $93.33 |
Florida Blue Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $162.18 | Facility | None | $53.70 | $107.15 | $162.18 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $48.98 | $64.57 | $85.11 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $17.38 Typical High $21.88 | Professional | 26 · Professional part | $11.48 | $17.38 | $21.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $46.77 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.18 Median $60.26 Typical High $147.91 | Professional | None (both parts) | $13.18 | $60.26 | $147.91 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $56.23 Typical High $109.65 | Professional | None (both parts) | $45.71 | $56.23 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $27.54 | Professional | 26 · Professional part | $12.02 | $14.13 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $41.69 | $83.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | TC · Technical part | $35.48 | $35.48 | $35.48 |
2 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 FX · Film X-ray Typical Low $35.48 Median $37.15 Typical High $53.70 | Professional | FX · Film X-ray | $35.48 | $37.15 | $53.70 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | Q6 · Substitute physician, paid per time | $56.23 | $56.23 | $56.23 |
Where Florida sits
The same service costs 3.6 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
$56.23
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.