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 $85.11 Median $85.11 Typical High $323.59 | Facility | None | $85.11 | $85.11 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $85.11 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $23.44 | $23.99 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $67.61 | $85.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $5.75 Typical High $22.39 | Professional | 26 · Professional part | $5.62 | $5.75 | $22.39 |
AvMed Setting Facility Modifier None Typical Low $22.39 Median $186.21 Typical High $407.38 | Facility | None | $22.39 | $186.21 | $407.38 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.39 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $22.39 | $128.82 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $309.03 | Facility | None | $177.83 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $181.97 | Professional | None (both parts) | $70.79 | $74.13 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.42 Typical High $48.98 | Professional | 26 · Professional part | $19.50 | $20.42 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $54.95 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $131.83 Typical High $562.34 | Facility | None | $114.82 | $131.83 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $70.79 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $70.79 | $177.83 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $19.95 | $39.81 | $50.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $128.82 Typical High $234.42 | Professional | TC · Technical part | $52.48 | $128.82 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $218.78 | Professional | None (both parts) | $33.88 | $43.65 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $194.98 | Professional | None (both parts) | $114.82 | $131.83 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $36.31 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $83.18 | $95.50 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $173.78 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $173.78 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $154.88 | $154.88 | $154.88 |
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 $42.66 Median $45.71 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $45.71 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $21.38 | Professional | 53 · Discontinued | $16.98 | $18.20 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $72.44 Typical High $72.44 | Professional | FX · Film X-ray | $67.61 | $72.44 | $72.44 |
Where Florida sits
The same service costs 4.2 times more in Nebraska 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
$91.20
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.