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 $72.44 Median $72.44 Typical High $323.59 | Facility | None | $72.44 | $72.44 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $72.44 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $28.18 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $47.86 | $97.72 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
AvMed Setting Facility Modifier None Typical Low $54.95 Median $100.00 Typical High $2,041.74 | Facility | None | $54.95 | $100.00 | $2,041.74 |
AvMed Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $63.10 | $77.62 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $3,890.45 Typical High $7,079.46 | Facility | None | $295.12 | $3,890.45 | $7,079.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $83.18 Typical High $316.23 | Professional | None (both parts) | $75.86 | $83.18 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.84 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $28.84 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $223.87 | Professional | TC · Technical part | $47.86 | $51.29 | $223.87 |
Florida Blue Setting Facility Modifier None Typical Low $309.03 Median $794.33 Typical High $1,698.24 | Facility | None | $309.03 | $794.33 | $1,698.24 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $83.18 Median $128.82 Typical High $363.08 | Professional | None (both parts) | $83.18 | $128.82 | $363.08 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $46.77 | $58.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $70.79 Typical High $316.23 | Professional | TC · Technical part | $45.71 | $70.79 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $79.43 Typical High $257.04 | Professional | None (both parts) | $32.36 | $79.43 | $257.04 |
United Setting Facility Modifier None Typical Low $2,290.87 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,290.87 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $104.71 Typical High $251.19 | Professional | None (both parts) | $70.79 | $104.71 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $36.31 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $186.21 | Professional | TC · Technical part | $43.65 | $64.57 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | 26 · Professional part | $22.39 | $22.39 | $22.39 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $45.71 | $45.71 | $45.71 |
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 $36.31 Median $38.02 Typical High $63.10 | Professional | 52 · Reduced service | $36.31 | $38.02 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $25.12 | Professional | 53 · Discontinued | $14.45 | $15.14 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $91.20 | Professional | FX · Film X-ray | $57.54 | $60.26 | $91.20 |
Where Florida sits
The same service costs 4.0 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
$85.11
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.