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 $371.54 Median $1,412.54 Typical High $2,511.89 | Facility | None | $371.54 | $1,412.54 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $524.81 | Professional | None (both parts) | $251.19 | $251.19 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $63.10 | $125.89 |
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 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
AvMed Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $602.56 | Facility | None | $169.82 | $257.04 | $602.56 |
AvMed Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $457.09 | Professional | None (both parts) | $208.93 | $257.04 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $537.03 Typical High $645.65 | Facility | None | $446.68 | $537.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $426.58 Typical High $1,047.13 | Professional | None (both parts) | $245.47 | $426.58 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $63.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $346.74 Typical High $831.76 | Professional | TC · Technical part | $186.21 | $346.74 | $831.76 |
Florida Blue Setting Facility Modifier None Typical Low $457.09 Median $478.63 Typical High $478.63 | Facility | None | $457.09 | $478.63 | $478.63 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $309.03 | $524.81 | $630.96 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $102.33 | $128.82 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $416.87 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $81.28 Median $251.19 Typical High $645.65 | Professional | None (both parts) | $81.28 | $251.19 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $269.15 | $380.19 | $741.31 |
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 $309.03 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $309.03 | $616.60 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $199.53 | $199.53 | $199.53 |
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 $239.88 | Professional | 52 · Reduced service | $125.89 | $125.89 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $50.12 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $363.08 | Professional | FX · Film X-ray | $199.53 | $199.53 | $363.08 |
Where Florida sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 50th of 51
$288
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.