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 $89.13 Median $93.33 Typical High $323.59 | Facility | None | $89.13 | $93.33 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $229.09 | Professional | None (both parts) | $89.13 | $93.33 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $40.74 | $41.69 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $51.29 Typical High $162.18 | Professional | TC · Technical part | $47.86 | $51.29 | $162.18 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $104.71 Typical High $3,311.31 | Facility | None | $66.07 | $104.71 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $56.23 Median $74.13 Typical High $239.88 | Professional | None (both parts) | $56.23 | $74.13 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $4,677.35 Typical High $6,760.83 | Facility | None | $851.14 | $4,677.35 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $446.68 | Professional | None (both parts) | $91.20 | $112.20 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $44.67 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $57.54 Typical High $338.84 | Professional | TC · Technical part | $47.86 | $57.54 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $1,258.93 Typical High $2,691.53 | Facility | None | $489.78 | $1,258.93 | $2,691.53 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $588.84 | Professional | None (both parts) | $97.72 | $194.98 | $588.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $85.11 | Professional | 26 · Professional part | $44.67 | $74.13 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $112.20 Typical High $512.86 | Professional | TC · Technical part | $53.70 | $112.20 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $45.71 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $45.71 | $91.20 | $204.17 |
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 $104.71 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $104.71 | $141.25 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $54.95 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $281.84 | Professional | TC · Technical part | $60.26 | $81.28 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $53.70 | $53.70 | $53.70 |
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 $44.67 Median $46.77 Typical High $83.18 | Professional | 52 · Reduced service | $44.67 | $46.77 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $33.11 | Professional | 53 · Discontinued | $17.78 | $18.62 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $107.15 | Professional | FX · Film X-ray | $70.79 | $74.13 | $107.15 |
Where Florida sits
The same service costs 5.4 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
$105
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.