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 $64.57 Median $69.18 Typical High $263.03 | Facility | None | $64.57 | $69.18 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $144.54 | Professional | None (both parts) | $64.57 | $77.62 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $20.89 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $54.95 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $74.13 | Professional | None (both parts) | $63.10 | $74.13 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $22.39 Typical High $37.15 | Professional | 26 · Professional part | $15.85 | $22.39 | $37.15 |
AvMed Setting Facility Modifier None Typical Low $63.10 Median $93.33 Typical High $181.97 | Facility | None | $63.10 | $93.33 | $181.97 |
AvMed Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $74.13 | Professional | None (both parts) | $53.70 | $67.61 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $186.21 Typical High $354.81 | Facility | None | $162.18 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $173.78 | Professional | None (both parts) | $67.61 | $72.44 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $21.38 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $21.38 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $123.03 | Professional | TC · Technical part | $47.86 | $50.12 | $123.03 |
Florida Blue Setting Facility Modifier None Typical Low $46.77 Median $120.23 Typical High $257.04 | Facility | None | $46.77 | $120.23 | $257.04 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $64.57 | $81.28 | $114.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $25.70 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $57.54 | $85.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $79.43 Typical High $199.53 | Professional | None (both parts) | $28.84 | $79.43 | $199.53 |
United Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $218.78 | Facility | None | $204.17 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $61.66 | $77.62 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $18.20 | $24.55 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $53.70 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | 26 · Professional part | $18.62 | $18.62 | $18.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
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 $32.36 Median $33.88 Typical High $50.12 | Professional | 52 · Reduced service | $32.36 | $33.88 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $13.49 Typical High $19.95 | Professional | 53 · Discontinued | $12.88 | $13.49 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $54.95 Typical High $75.86 | Professional | FX · Film X-ray | $51.29 | $54.95 | $75.86 |
Where Florida sits
The same service costs 3.8 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· 50th of 51
$74.13
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.