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 $147.91 Median $158.49 Typical High $323.59 | Facility | None | $147.91 | $158.49 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $147.91 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.89 Typical High $30.20 | Professional | 26 · Professional part | $20.42 | $20.89 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $151.36 | $229.09 |
AvMed Setting Facility Modifier None Typical Low $28.84 Median $245.47 Typical High $512.86 | Facility | None | $28.84 | $245.47 | $512.86 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.99 Median $66.07 Typical High $245.47 | Professional | None (both parts) | $23.99 | $66.07 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $467.74 Typical High $660.69 | Facility | None | $134.90 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $162.18 | Professional | None (both parts) | $57.54 | $64.57 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $21.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $104.71 | Professional | TC · Technical part | $36.31 | $39.81 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $57.54 Median $147.91 Typical High $316.23 | Facility | None | $57.54 | $147.91 | $316.23 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $263.03 | Professional | None (both parts) | $70.79 | $102.33 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $34.67 | $41.69 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $64.57 Typical High $234.42 | Professional | TC · Technical part | $44.67 | $64.57 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $27.54 Typical High $50.12 | Professional | None (both parts) | $26.92 | $27.54 | $50.12 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $67.61 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $26.30 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $177.83 Typical High $331.13 | Professional | TC · Technical part | $44.67 | $177.83 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
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 $74.13 Median $77.62 Typical High $117.49 | Professional | 52 · Reduced service | $74.13 | $77.62 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $47.86 | Professional | 53 · Discontinued | $29.51 | $31.62 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | FX · Film X-ray | $117.49 | $125.89 | $181.97 |
Where Florida sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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
$117
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.