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 $19.05 Median $20.42 Typical High $323.59 | Facility | None | $19.05 | $20.42 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $20.42 Typical High $29.51 | Professional | None (both parts) | $19.05 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.08 Typical High $10.47 | Professional | 26 · Professional part | $6.76 | $7.08 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $13.18 Typical High $19.05 | Professional | TC · Technical part | $12.30 | $13.18 | $19.05 |
AvMed Setting Facility Modifier None Typical Low $9.33 Median $20.42 Typical High $39.81 | Facility | None | $9.33 | $20.42 | $39.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $7.76 Median $14.13 Typical High $20.42 | Professional | None (both parts) | $7.76 | $14.13 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $208.93 Typical High $251.19 | Facility | None | $147.91 | $208.93 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $22.39 Typical High $56.23 | Professional | None (both parts) | $19.95 | $22.39 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $19.95 | Professional | 26 · Professional part | $7.08 | $7.41 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $14.13 Typical High $37.15 | Professional | TC · Technical part | $12.88 | $14.13 | $37.15 |
Florida Blue Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $100.00 | Facility | None | $38.90 | $66.07 | $100.00 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $21.88 | $30.90 | $46.77 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.22 Typical High $12.59 | Professional | 26 · Professional part | $6.61 | $11.22 | $12.59 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.22 Typical High $17.78 | Professional | TC · Technical part | $13.18 | $16.22 | $17.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.92 Median $26.30 Typical High $48.98 | Professional | None (both parts) | $6.92 | $26.30 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $35.48 Typical High $70.79 | Professional | None (both parts) | $22.39 | $35.48 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $18.20 | Professional | 26 · Professional part | $7.76 | $9.33 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $25.12 Typical High $52.48 | Professional | TC · Technical part | $13.80 | $25.12 | $52.48 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.12 Median $26.30 Typical High $30.20 | Professional | None (both parts) | $25.12 | $26.30 | $30.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $6.92 | Professional | 26 · Professional part | $6.92 | $6.92 | $6.92 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
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 $9.55 Median $10.23 Typical High $14.79 | Professional | 52 · Reduced service | $9.55 | $10.23 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.07 Typical High $5.89 | Professional | 53 · Discontinued | $3.80 | $4.07 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $16.22 Typical High $22.39 | Professional | FX · Film X-ray | $15.14 | $16.22 | $22.39 |
Where Florida sits
The same service costs 4.7 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
$23.44
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.