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 $1,148.15 Typical High $2,398.83 | Facility | None | $251.19 | $1,148.15 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $239.88 | $251.19 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $72.44 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $162.18 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $131.83 | $151.36 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $38.02 | $53.70 | $60.26 |
AvMed Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $269.15 | Facility | None | $85.11 | $134.90 | $269.15 |
AvMed Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $354.81 | Professional | None (both parts) | $104.71 | $134.90 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $537.03 Typical High $758.58 | Facility | None | $131.83 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $323.59 Typical High $691.83 | Professional | None (both parts) | $141.25 | $323.59 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $134.90 | Professional | 26 · Professional part | $48.98 | $53.70 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $223.87 Typical High $549.54 | Professional | TC · Technical part | $91.20 | $223.87 | $549.54 |
Florida Blue Setting Facility Modifier None Typical Low $426.58 Median $1,621.81 Typical High $2,454.71 | Facility | None | $426.58 | $1,621.81 | $2,454.71 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $229.09 Median $416.87 Typical High $512.86 | Professional | None (both parts) | $229.09 | $416.87 | $512.86 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $48.98 | $74.13 | $100.00 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $338.84 | $446.68 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $147.91 Typical High $331.13 | Professional | None (both parts) | $60.26 | $147.91 | $331.13 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $162.18 | $239.88 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $61.66 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $181.97 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $181.97 | $416.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $51.29 | $51.29 | $51.29 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
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 $123.03 Median $125.89 Typical High $213.80 | Professional | 52 · Reduced service | $123.03 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $85.11 | Professional | 53 · Discontinued | $48.98 | $50.12 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $338.84 |
Where Florida sits
The same service costs 6.6 times more in Alaska 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
$200
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.