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 $72.44 Median $77.62 Typical High $323.59 | Facility | None | $72.44 | $77.62 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $72.44 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.44 Typical High $33.88 | Professional | 26 · Professional part | $22.39 | $23.44 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $50.12 | $53.70 | $83.18 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $645.65 | Facility | None | $69.18 | $102.33 | $645.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $58.88 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,412.54 Typical High $2,137.96 | Facility | None | $549.54 | $1,412.54 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $229.09 | Professional | None (both parts) | $74.13 | $85.11 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $66.07 | Professional | 26 · Professional part | $23.99 | $24.55 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $173.78 | Professional | TC · Technical part | $50.12 | $56.23 | $173.78 |
Florida Blue Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $204.17 | Facility | None | $38.02 | $97.72 | $204.17 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $72.44 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $72.44 | $128.82 | $190.55 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $39.81 | $46.77 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $38.90 | $93.33 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $33.11 | $87.10 | $199.53 |
United Setting Facility Modifier None Typical Low $724.44 Median $776.25 Typical High $776.25 | Facility | None | $724.44 | $776.25 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $74.13 | $102.33 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $147.91 | Professional | TC · Technical part | $58.88 | $74.13 | $147.91 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | TC · Technical part | $56.23 | $56.23 | $56.23 |
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 $36.31 Median $38.02 Typical High $57.54 | Professional | 52 · Reduced service | $36.31 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.49 Typical High $22.91 | Professional | 53 · Discontinued | $14.45 | $15.49 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $61.66 Typical High $87.10 | Professional | FX · Film X-ray | $57.54 | $61.66 | $87.10 |
Where Florida sits
The same service costs 4.6 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
$87.10
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.