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 $302.00 Median $323.59 Typical High $323.59 | Facility | None | $302.00 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $302.00 | $323.59 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $17.78 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $489.78 | Professional | TC · Technical part | $295.12 | $316.23 | $489.78 |
AvMed Setting Facility Modifier None Typical Low $25.12 Median $562.34 Typical High $1,148.15 | Facility | None | $25.12 | $562.34 | $1,148.15 |
AvMed Setting Professional Modifier None (both parts) Typical Low $20.42 Median $56.23 Typical High $562.34 | Professional | None (both parts) | $20.42 | $56.23 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $1,348.96 Typical High $1,905.46 | Facility | None | $158.49 | $1,348.96 | $1,905.46 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $134.90 | Professional | None (both parts) | $48.98 | $54.95 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $50.12 | Professional | 26 · Professional part | $17.78 | $18.62 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $89.13 | Professional | TC · Technical part | $30.20 | $34.67 | $89.13 |
Florida Blue Setting Facility Modifier None Typical Low $48.98 Median $309.03 Typical High $8,511.38 | Facility | None | $48.98 | $309.03 | $8,511.38 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $562.34 | Professional | None (both parts) | $60.26 | $87.10 | $562.34 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $18.62 | $30.20 | $34.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $54.95 Typical High $537.03 | Professional | TC · Technical part | $38.02 | $54.95 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $41.69 Typical High $109.65 | Professional | None (both parts) | $17.78 | $41.69 | $109.65 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $58.88 | $389.05 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $22.39 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $363.08 Typical High $707.95 | Professional | TC · Technical part | $38.90 | $363.08 | $707.95 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $467.74 | $537.03 | $575.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $151.36 Median $158.49 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $64.57 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $257.04 Typical High $389.05 | Professional | FX · Film X-ray | $239.88 | $257.04 | $389.05 |
Where Florida sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 45th of 51
$95.50
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.