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 $251.19 Median $1,318.26 Typical High $2,398.83 | Facility | None | $251.19 | $1,318.26 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $251.19 | $346.74 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $77.62 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $245.47 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $257.04 | Professional | None (both parts) | $213.80 | $245.47 | $257.04 |
AvMed Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $812.83 | Facility | None | $162.18 | $251.19 | $812.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $194.98 | $251.19 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $776.25 Typical High $1,096.48 | Facility | None | $245.47 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $933.25 | Professional | None (both parts) | $223.87 | $398.11 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $151.36 | Professional | 26 · Professional part | $54.95 | $61.66 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $741.31 | Professional | TC · Technical part | $169.82 | $295.12 | $741.31 |
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 $275.42 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $275.42 | $478.63 | $588.84 |
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 $218.78 Median $389.05 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $389.05 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $87.10 | $257.04 | $630.96 |
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 $257.04 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $257.04 | $354.81 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $69.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $288.40 Typical High $575.44 | Professional | TC · Technical part | $208.93 | $288.40 | $575.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $186.21 | $186.21 | $186.21 |
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 $234.42 | Professional | 52 · Reduced service | $125.89 | $125.89 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | 53 · Discontinued | $50.12 | $50.12 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $346.74 | Professional | FX · Film X-ray | $199.53 | $199.53 | $346.74 |
Where Florida sits
The same service costs 5.4 times more in Wyoming 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· 49th of 51
$288
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.