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 $87.10 Median $91.20 Typical High $323.59 | Facility | None | $87.10 | $91.20 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $87.10 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $19.05 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $72.44 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $75.86 | $288.40 | $288.40 |
AvMed Setting Facility Modifier None Typical Low $102.33 Median $151.36 Typical High $363.08 | Facility | None | $102.33 | $151.36 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $114.82 | Professional | None (both parts) | $79.43 | $93.33 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $616.60 Typical High $870.96 | Facility | None | $346.74 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $213.80 | Professional | None (both parts) | $87.10 | $97.72 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $52.48 | Professional | 26 · Professional part | $19.50 | $19.95 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $66.07 | $77.62 | $165.96 |
Florida Blue Setting Facility Modifier None Typical Low $63.10 Median $181.97 Typical High $660.69 | Facility | None | $63.10 | $181.97 | $660.69 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $144.54 | Professional | None (both parts) | $83.18 | $104.71 | $144.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $20.42 | $30.90 | $38.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $75.86 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $28.18 | $112.20 | $269.15 |
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 $75.86 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $75.86 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $23.99 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $81.28 | $158.49 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $16.60 | $16.60 | $16.60 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 $43.65 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $26.92 | Professional | 53 · Discontinued | $17.38 | $18.20 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $74.13 Typical High $104.71 | Professional | FX · Film X-ray | $69.18 | $74.13 | $104.71 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in New York. 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
$97.72
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.