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 $67.61 Median $72.44 Typical High $323.59 | Facility | None | $67.61 | $72.44 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $93.33 | Professional | None (both parts) | $67.61 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $26.30 | Professional | 26 · Professional part | $17.78 | $18.20 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $50.12 | $54.95 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $17.38 | $20.42 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $125.89 | Facility | None | $20.42 | $25.70 | $125.89 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $107.15 | Professional | None (both parts) | $20.42 | $25.70 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $190.55 | Facility | None | $112.20 | $158.49 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $70.79 | $75.86 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.05 Typical High $31.62 | Professional | 26 · Professional part | $18.62 | $19.05 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $57.54 | $97.72 |
Florida Blue Setting Facility Modifier None Typical Low $97.72 Median $109.65 Typical High $478.63 | Facility | None | $97.72 | $109.65 | $478.63 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $53.70 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $53.70 | $125.89 | $144.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $28.84 Typical High $32.36 | Professional | 26 · Professional part | $12.02 | $28.84 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $97.72 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $38.02 Typical High $125.89 | Professional | None (both parts) | $19.50 | $38.02 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $85.11 | $102.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $27.54 | Professional | 26 · Professional part | $18.62 | $21.88 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $79.43 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $79.43 | $114.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $112.20 | $112.20 | $131.83 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
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 $33.88 Median $36.31 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $36.31 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $14.45 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $58.88 Typical High $66.07 | Professional | FX · Film X-ray | $54.95 | $58.88 | $66.07 |
Where Florida sits
The same service costs 4.0 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
$75.86
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.