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 $91.20 Median $97.72 Typical High $323.59 | Facility | None | $91.20 | $97.72 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $177.83 | Professional | None (both parts) | $91.20 | $97.72 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $44.67 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $51.29 | $100.00 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $3,311.31 | Facility | None | $69.18 | $102.33 | $3,311.31 |
AvMed Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $239.88 | Professional | None (both parts) | $58.88 | $75.86 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $4,677.35 Typical High $6,606.93 | Facility | None | $1,000.00 | $4,677.35 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $457.09 | Professional | None (both parts) | $95.50 | $117.49 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $48.98 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $331.13 | Professional | TC · Technical part | $48.98 | $58.88 | $331.13 |
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 $102.33 Median $204.17 Typical High $588.84 | Professional | None (both parts) | $102.33 | $204.17 | $588.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $91.20 | Professional | 26 · Professional part | $48.98 | $81.28 | $91.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $512.86 | Professional | TC · Technical part | $54.95 | $114.82 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $48.98 Median $109.65 Typical High $263.03 | Professional | None (both parts) | $48.98 | $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 $109.65 Median $147.91 Typical High $398.11 | Professional | None (both parts) | $109.65 | $147.91 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $58.88 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $281.84 | Professional | TC · Technical part | $61.66 | $83.18 | $281.84 |
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 $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
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 $45.71 Median $47.86 Typical High $87.10 | Professional | 52 · Reduced service | $45.71 | $47.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $19.50 Typical High $34.67 | Professional | 53 · Discontinued | $18.62 | $19.50 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $77.62 Typical High $114.82 | Professional | FX · Film X-ray | $74.13 | $77.62 | $114.82 |
Where Florida sits
The same service costs 4.7 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
$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.