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 $100.00 Median $104.71 Typical High $323.59 | Facility | None | $100.00 | $104.71 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $100.00 | $104.71 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $37.15 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $69.18 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $95.50 Median $138.04 Typical High $3,311.31 | Facility | None | $95.50 | $138.04 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $269.15 | Professional | None (both parts) | $81.28 | $102.33 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $4,677.35 Typical High $6,760.83 | Facility | None | $117.49 | $4,677.35 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $478.63 | Professional | None (both parts) | $104.71 | $125.89 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $107.15 | Professional | 26 · Professional part | $38.90 | $39.81 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $371.54 | Professional | TC · Technical part | $66.07 | $77.62 | $371.54 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $1,445.44 Typical High $6,025.60 | Facility | None | $489.78 | $1,445.44 | $6,025.60 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $112.20 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $112.20 | $223.87 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $39.81 | $64.57 | $75.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $512.86 | Professional | TC · Technical part | $75.86 | $147.91 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $43.65 | $120.23 | $269.15 |
United Setting Facility Modifier None Typical Low $3,630.78 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,630.78 | $3,981.07 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $117.49 | $162.18 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $97.72 | Professional | 26 · Professional part | $42.66 | $48.98 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $107.15 Typical High $316.23 | Professional | TC · Technical part | $79.43 | $107.15 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
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 $50.12 Median $52.48 Typical High $93.33 | Professional | 52 · Reduced service | $50.12 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $37.15 | Professional | 53 · Discontinued | $19.95 | $21.38 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $128.82 | Professional | FX · Film X-ray | $79.43 | $85.11 | $128.82 |
Where Florida sits
The same service costs 4.4 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
$129
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.