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 $89.13 Median $95.50 Typical High $323.59 | Facility | None | $89.13 | $95.50 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $89.13 | $95.50 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $25.12 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $64.57 | $69.18 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $102.33 | Facility | None | $28.18 | $36.31 | $102.33 |
AvMed Setting Professional Modifier None (both parts) Typical Low $28.18 Median $36.31 Typical High $107.15 | Professional | None (both parts) | $28.18 | $36.31 | $107.15 |
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 $93.33 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $93.33 | $97.72 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $25.70 | $26.30 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $67.61 | $72.44 | $117.49 |
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 $58.88 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $58.88 | $134.90 | $158.49 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $16.98 | $40.74 | $45.71 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $43.65 | $95.50 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $39.81 Typical High $165.96 | Professional | None (both parts) | $25.70 | $39.81 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $93.33 | $109.65 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $31.62 | $39.81 |
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 $123.03 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $123.03 | $123.03 | $144.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | TC · Technical part | $117.49 | $117.49 | $117.49 |
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 $44.67 Median $46.77 Typical High $61.66 | Professional | 52 · Reduced service | $44.67 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.05 Typical High $24.55 | Professional | 53 · Discontinued | $17.78 | $19.05 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $75.86 Typical High $87.10 | Professional | FX · Film X-ray | $70.79 | $75.86 | $87.10 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 48th 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.