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 $112.20 Median $120.23 Typical High $323.59 | Facility | None | $112.20 | $120.23 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $112.20 | $120.23 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $44.67 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $74.13 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
AvMed Setting Facility Modifier None Typical Low $117.49 Median $169.82 Typical High $3,311.31 | Facility | None | $117.49 | $169.82 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $93.33 | $123.03 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $794.33 Typical High $5,754.40 | Facility | None | $144.54 | $794.33 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $489.78 | Professional | None (both parts) | $109.65 | $123.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $44.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $354.81 | Professional | TC · Technical part | $66.07 | $77.62 | $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 $125.89 Median $194.98 Typical High $575.44 | Professional | None (both parts) | $125.89 | $194.98 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $64.57 | $79.43 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $512.86 | Professional | TC · Technical part | $77.62 | $117.49 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $58.88 Median $141.25 Typical High $331.13 | Professional | None (both parts) | $58.88 | $141.25 | $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 $117.49 Median $169.82 Typical High $398.11 | Professional | None (both parts) | $117.49 | $169.82 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $54.95 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $114.82 Typical High $288.40 | Professional | TC · Technical part | $77.62 | $114.82 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
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 $56.23 Median $58.88 Typical High $97.72 | Professional | 52 · Reduced service | $56.23 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $38.90 | Professional | 53 · Discontinued | $22.39 | $23.99 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $95.50 Typical High $134.90 | Professional | FX · Film X-ray | $89.13 | $95.50 | $134.90 |
Where Florida sits
The same service costs 3.8 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· 48th of 51
$141
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.