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 $95.50 Median $100.00 Typical High $323.59 | Facility | None | $95.50 | $100.00 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $95.50 | $100.00 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $44.67 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $54.95 | $120.23 |
AvMed Setting Facility Modifier None Typical Low $48.98 Median $89.13 Typical High $812.83 | Facility | None | $48.98 | $89.13 | $812.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $177.83 | Professional | None (both parts) | $60.26 | $77.62 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $1,071.52 Typical High $1,548.82 | Facility | None | $223.87 | $1,071.52 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $354.81 | Professional | None (both parts) | $112.20 | $125.89 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $123.03 | Professional | 26 · Professional part | $46.77 | $47.86 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $70.79 | $263.03 |
Florida Blue Setting Facility Modifier None Typical Low $239.88 Median $616.60 Typical High $1,318.26 | Facility | None | $239.88 | $616.60 | $1,318.26 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $97.72 | $165.96 | $323.59 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $50.12 | $74.13 | $91.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $245.47 | Professional | TC · Technical part | $48.98 | $77.62 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $44.67 | $102.33 | $263.03 |
United Setting Facility Modifier None Typical Low $912.01 Median $977.24 Typical High $977.24 | Facility | None | $912.01 | $977.24 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $97.72 | $144.54 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $50.12 | $75.86 | $181.97 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $47.86 Median $50.12 Typical High $89.13 | Professional | 52 · Reduced service | $47.86 | $50.12 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.95 Typical High $35.48 | Professional | 53 · Discontinued | $19.05 | $19.95 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $79.43 Typical High $134.90 | Professional | FX · Film X-ray | $75.86 | $79.43 | $134.90 |
Where Florida sits
The same service costs 4.6 times more in Alaska 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
$115
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.