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 $323.59 Median $645.65 Typical High $2,511.89 | Facility | None | $323.59 | $645.65 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $645.65 | $691.83 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $51.29 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $645.65 Typical High $933.25 | Professional | TC · Technical part | $588.84 | $645.65 | $933.25 |
AvMed Setting Facility Modifier None Typical Low $144.54 Median $239.88 Typical High $724.44 | Facility | None | $144.54 | $239.88 | $724.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $154.88 Median $724.44 Typical High $1,000.00 | Professional | None (both parts) | $154.88 | $724.44 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,023.29 Typical High $1,174.90 | Facility | None | $724.44 | $1,023.29 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $741.31 Typical High $1,548.82 | Professional | None (both parts) | $691.83 | $741.31 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $691.83 Typical High $1,318.26 | Professional | TC · Technical part | $645.65 | $691.83 | $1,318.26 |
Florida Blue Setting Facility Modifier None Typical Low $891.25 Median $1,000.00 Typical High $4,365.16 | Facility | None | $891.25 | $1,000.00 | $4,365.16 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $1,047.13 | Professional | None (both parts) | $218.78 | $245.47 | $1,047.13 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $64.57 | $93.33 | $125.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $138.04 Typical High $977.24 | Professional | TC · Technical part | $125.89 | $138.04 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $107.15 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $107.15 | $245.47 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $794.33 Typical High $1,479.11 | Professional | None (both parts) | $60.26 | $794.33 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $776.25 Typical High $1,445.44 | Professional | TC · Technical part | $676.08 | $776.25 | $1,445.44 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $316.23 Median $331.13 Typical High $1,023.29 | Professional | None (both parts) | $316.23 | $331.13 | $1,023.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $97.72 | $97.72 | $134.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $190.55 | $245.47 | $245.47 |
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 $323.59 Median $346.74 Typical High $457.09 | Professional | 52 · Reduced service | $323.59 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | 53 · Discontinued | $128.82 | $138.04 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | FX · Film X-ray | $512.86 | $512.86 | $645.65 |
Where Florida sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 45th of 51
$646
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.