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 $204.17 | Professional | None (both parts) | $89.13 | $93.33 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $36.31 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $57.54 | $154.88 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $3,311.31 | Facility | None | $79.43 | $117.49 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $251.19 | Professional | None (both parts) | $67.61 | $85.11 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $1,513.56 Typical High $6,760.83 | Facility | None | $97.72 | $1,513.56 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $446.68 | Professional | None (both parts) | $93.33 | $112.20 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.90 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $38.90 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $67.61 | $354.81 |
Florida Blue Setting Facility Modifier None Typical Low $489.78 Median $6,165.95 Typical High $19,952.62 | Facility | None | $489.78 | $6,165.95 | $19,952.62 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $100.00 Median $199.53 Typical High $575.44 | Professional | None (both parts) | $100.00 | $199.53 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $64.57 | $74.13 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $125.89 Typical High $512.86 | Professional | TC · Technical part | $64.57 | $125.89 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $42.66 | $109.65 | $263.03 |
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 $144.54 Typical High $389.05 | Professional | None (both parts) | $104.71 | $144.54 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $46.77 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $295.12 | Professional | TC · Technical part | $67.61 | $91.20 | $295.12 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
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 $33.88 | Professional | 53 · Discontinued | $17.78 | $18.62 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $75.86 Typical High $112.20 | Professional | FX · Film X-ray | $70.79 | $75.86 | $112.20 |
Where Florida sits
The same service costs 4.3 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
$115
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.