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 $87.10 Median $93.33 Typical High $323.59 | Facility | None | $87.10 | $93.33 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $190.55 | Professional | None (both parts) | $87.10 | $93.33 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $16.22 | $16.60 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $186.21 | Professional | TC · Technical part | $72.44 | $75.86 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $363.08 | Facility | None | $104.71 | $154.88 | $363.08 |
AvMed Setting Professional Modifier None (both parts) Typical Low $51.29 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $51.29 | $100.00 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $478.63 Typical High $776.25 | Facility | None | $275.42 | $478.63 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $93.33 Typical High $194.98 | Professional | None (both parts) | $56.23 | $93.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $17.38 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $17.38 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $45.71 | $75.86 | $162.18 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $147.91 Typical High $660.69 | Facility | None | $51.29 | $147.91 | $660.69 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $56.23 | $81.28 | $102.33 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.42 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $20.42 | $25.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $40.74 | $58.88 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $109.65 Typical High $269.15 | Professional | None (both parts) | $28.18 | $109.65 | $269.15 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $281.84 | Professional | None (both parts) | $54.95 | $107.15 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $20.42 Typical High $38.02 | Professional | 26 · Professional part | $14.13 | $20.42 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $87.10 Typical High $269.15 | Professional | TC · Technical part | $40.74 | $87.10 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
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 $43.65 Median $46.77 Typical High $75.86 | Professional | 52 · Reduced service | $43.65 | $46.77 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $30.90 | Professional | 53 · Discontinued | $17.38 | $18.62 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $109.65 | Professional | FX · Film X-ray | $70.79 | $74.13 | $109.65 |
Where Florida sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 49th 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.