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 $104.71 Median $109.65 Typical High $323.59 | Facility | None | $104.71 | $109.65 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $239.88 | Professional | None (both parts) | $104.71 | $109.65 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $36.31 | $38.02 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $70.79 Typical High $186.21 | Professional | TC · Technical part | $67.61 | $70.79 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
AvMed Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $3,311.31 | Facility | None | $109.65 | $169.82 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $93.33 | $114.82 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $1,513.56 Typical High $6,760.83 | Facility | None | $851.14 | $1,513.56 | $6,760.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $501.19 | Professional | None (both parts) | $112.20 | $131.83 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $40.74 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $40.74 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $389.05 | Professional | TC · Technical part | $72.44 | $85.11 | $389.05 |
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 $125.89 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $125.89 | $223.87 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $66.07 | $77.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $512.86 | Professional | TC · Technical part | $81.28 | $147.91 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $43.65 | $138.04 | $331.13 |
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 $120.23 Median $165.96 Typical High $407.38 | Professional | None (both parts) | $120.23 | $165.96 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $50.12 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $316.23 | Professional | TC · Technical part | $83.18 | $109.65 | $316.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $85.11 | $85.11 | $85.11 |
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 $51.29 Median $54.95 Typical High $95.50 | Professional | 52 · Reduced service | $51.29 | $54.95 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $38.02 | Professional | 53 · Discontinued | $20.89 | $21.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $134.90 | Professional | FX · Film X-ray | $83.18 | $87.10 | $134.90 |
Where Florida sits
The same service costs 4.0 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
$135
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.