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 $54.95 Median $58.88 Typical High $323.59 | Facility | None | $54.95 | $58.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $58.88 Typical High $87.10 | Professional | None (both parts) | $54.95 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $20.42 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $35.48 | $38.02 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
AvMed Setting Facility Modifier None Typical Low $28.18 Median $263.03 Typical High $457.09 | Facility | None | $28.18 | $263.03 | $457.09 |
AvMed Setting Professional Modifier None (both parts) Typical Low $22.91 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $22.91 | $117.49 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $436.52 | Facility | None | $257.04 | $363.08 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $173.78 | Professional | None (both parts) | $57.54 | $66.07 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $57.54 | Professional | 26 · Professional part | $20.89 | $21.38 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $125.89 | Professional | TC · Technical part | $37.15 | $41.69 | $125.89 |
Florida Blue Setting Facility Modifier None Typical Low $123.03 Median $316.23 Typical High $676.08 | Facility | None | $123.03 | $316.23 | $676.08 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $123.03 | $177.83 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $33.88 | $39.81 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $138.04 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $37.15 Typical High $107.15 | Professional | None (both parts) | $19.50 | $37.15 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $104.71 | $131.83 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $25.70 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $89.13 | $104.71 | $213.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $158.49 | $263.03 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
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 $27.54 Median $29.51 Typical High $42.66 | Professional | 52 · Reduced service | $27.54 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $16.98 | Professional | 53 · Discontinued | $10.96 | $11.75 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $46.77 Typical High $66.07 | Professional | FX · Film X-ray | $44.67 | $46.77 | $66.07 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$83.18
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.