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 $93.33 Median $97.72 Typical High $323.59 | Facility | None | $93.33 | $97.72 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $93.33 | $97.72 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $18.62 | $20.89 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $74.13 | $79.43 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $66.07 | $91.20 | $107.15 |
AvMed Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $363.08 | Facility | None | $81.28 | $120.23 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $69.18 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $870.96 | Facility | None | $218.78 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $234.42 | Professional | None (both parts) | $87.10 | $93.33 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $54.95 | Professional | 26 · Professional part | $21.88 | $22.39 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $66.07 | $69.18 | $186.21 |
Florida Blue Setting Facility Modifier None Typical Low $102.33 Median $269.15 Typical High $562.34 | Facility | None | $102.33 | $269.15 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $85.11 | $138.04 | $151.36 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $22.91 | $30.90 | $38.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $61.66 | $100.00 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $31.62 | $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 $89.13 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $89.13 | $109.65 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $25.12 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $87.10 | $169.82 |
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 $21.88 Median $21.88 Typical High $21.88 | Professional | 26 · Professional part | $21.88 | $21.88 | $21.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | TC · Technical part | $60.26 | $60.26 | $60.26 |
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 $46.77 Median $48.98 Typical High $66.07 | Professional | 52 · Reduced service | $46.77 | $48.98 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $26.30 | Professional | 53 · Discontinued | $18.62 | $19.50 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $79.43 Typical High $100.00 | Professional | FX · Film X-ray | $74.13 | $79.43 | $100.00 |
Where Florida sits
The same service costs 3.5 times more in Alaska 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· 48th of 51
$105
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.