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 $275.42 Typical High $549.54 | Professional | None (both parts) | $251.19 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $63.10 | $63.10 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $186.21 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $60.26 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $169.82 Median $323.59 Typical High $602.56 | Facility | None | $169.82 | $323.59 | $602.56 |
AvMed Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $208.93 | $269.15 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $776.25 Typical High $1,096.48 | Facility | None | $194.98 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $1,000.00 | Professional | None (both parts) | $234.42 | $407.38 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $60.26 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $181.97 | $309.03 | $794.33 |
Florida Blue Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $2,398.83 | Facility | None | $512.86 | $1,122.02 | $2,398.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $295.12 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $295.12 | $512.86 | $630.96 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $83.18 | $112.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $229.09 | $416.87 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $87.10 | $275.42 | $660.69 |
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 $275.42 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $275.42 | $371.54 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $69.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $630.96 | Professional | TC · Technical part | $223.87 | $309.03 | $630.96 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
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 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
$302
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.