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 $79.43 Median $91.20 Typical High $275.42 | Facility | None | $79.43 | $91.20 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $79.43 | $93.33 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $60.26 | Professional | 26 · Professional part | $25.70 | $29.51 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $53.70 | $63.10 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $66.07 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $31.62 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $81.28 Median $117.49 Typical High $181.97 | Facility | None | $81.28 | $117.49 | $181.97 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $67.61 | $81.28 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $275.42 Typical High $398.11 | Facility | None | $100.00 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $89.13 Typical High $218.78 | Professional | None (both parts) | $85.11 | $89.13 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $27.54 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $61.66 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $316.23 | Facility | None | $57.54 | $147.91 | $316.23 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $83.18 | $107.15 | $147.91 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $38.90 | $46.77 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $56.23 | $70.79 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $33.11 | $112.20 | $269.15 |
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 $77.62 Median $100.00 Typical High $194.98 | Professional | None (both parts) | $77.62 | $100.00 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $67.61 | Professional | 26 · Professional part | $26.92 | $33.88 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $64.57 | $134.90 |
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 $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
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 $39.81 Median $41.69 Typical High $63.10 | Professional | 52 · Reduced service | $39.81 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.98 Typical High $25.12 | Professional | 53 · Discontinued | $15.85 | $16.98 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $67.61 Typical High $95.50 | Professional | FX · Film X-ray | $64.57 | $67.61 | $95.50 |
Where Florida sits
The same service costs 3.7 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
$97.72
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.