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 $316.23 Median $1,380.38 Typical High $2,398.83 | Facility | None | $316.23 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $549.54 | Professional | None (both parts) | $251.19 | $316.23 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $85.11 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $204.17 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $70.79 | $147.91 |
AvMed Setting Facility Modifier None Typical Low $128.82 Median $245.47 Typical High $446.68 | Facility | None | $128.82 | $245.47 | $446.68 |
AvMed Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $154.88 | $199.53 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $724.44 Typical High $1,096.48 | Facility | None | $199.53 | $724.44 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $363.08 Typical High $870.96 | Professional | None (both parts) | $194.98 | $363.08 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $67.61 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $691.83 | Professional | TC · Technical part | $134.90 | $257.04 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $524.81 Median $1,348.96 Typical High $2,884.03 | Facility | None | $524.81 | $1,348.96 | $2,884.03 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $234.42 | $426.58 | $645.65 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $109.65 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $302.00 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $89.13 | $223.87 | $512.86 |
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 $223.87 Median $316.23 Typical High $660.69 | Professional | None (both parts) | $223.87 | $316.23 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $77.62 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $229.09 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
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 $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
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 $229.09 | Professional | 52 · Reduced service | $125.89 | $125.89 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | 53 · Discontinued | $50.12 | $50.12 | $91.20 |
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 5.9 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
$251
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.