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 $104.71 Median $112.20 Typical High $323.59 | Facility | None | $104.71 | $112.20 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $165.96 | Professional | None (both parts) | $104.71 | $112.20 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $38.90 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $67.61 | $74.13 | $107.15 |
AvMed Setting Facility Modifier None Typical Low $54.95 Median $114.82 Typical High $223.87 | Facility | None | $54.95 | $114.82 | $223.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $45.71 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $45.71 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $251.19 | Facility | None | $95.50 | $138.04 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $316.23 | Professional | None (both parts) | $112.20 | $128.82 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $114.82 | Professional | 26 · Professional part | $39.81 | $43.65 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $72.44 | $81.28 | $208.93 |
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 $128.82 Median $173.78 Typical High $213.80 | Professional | None (both parts) | $128.82 | $173.78 | $213.80 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $66.07 | $81.28 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $85.11 | $107.15 | $147.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $27.54 Typical High $56.23 | Professional | None (both parts) | $26.92 | $27.54 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $112.20 | $138.04 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $52.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $173.78 | Professional | TC · Technical part | $72.44 | $87.10 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $165.96 | $165.96 | $165.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
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 $52.48 Median $56.23 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $56.23 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $22.39 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $89.13 Typical High $125.89 | Professional | FX · Film X-ray | $85.11 | $89.13 | $125.89 |
Where Florida sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 51st of 51
$123
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.