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 $66.07 Median $70.79 Typical High $323.59 | Facility | None | $66.07 | $70.79 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $66.07 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $25.12 | $25.70 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $41.69 | $44.67 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 26 · Professional part | $30.20 | $30.20 | $30.90 |
AvMed Setting Facility Modifier None Typical Low $43.65 Median $54.95 Typical High $120.23 | Facility | None | $43.65 | $54.95 | $120.23 |
AvMed Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $43.65 | $54.95 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $208.93 Typical High $251.19 | Facility | None | $147.91 | $208.93 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $123.03 | Professional | None (both parts) | $66.07 | $69.18 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $41.69 | Professional | 26 · Professional part | $26.30 | $26.92 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $41.69 | $79.43 |
Florida Blue Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $354.81 | Facility | None | $72.44 | $81.28 | $354.81 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $45.71 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $45.71 | $107.15 | $125.89 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $38.90 Typical High $43.65 | Professional | 26 · Professional part | $15.85 | $38.90 | $43.65 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $70.79 Typical High $79.43 | Professional | TC · Technical part | $30.20 | $70.79 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $79.43 Typical High $190.55 | Professional | None (both parts) | $33.11 | $79.43 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $67.61 | $83.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $28.84 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $42.66 | $53.70 | $70.79 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $28.84 | $28.84 | $28.84 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
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 $33.11 Median $35.48 Typical High $44.67 | Professional | 52 · Reduced service | $33.11 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $13.18 | $14.13 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $56.23 Typical High $66.07 | Professional | FX · Film X-ray | $53.70 | $56.23 | $66.07 |
Where Florida sits
The same service costs 4.5 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· 50th of 51
$72.44
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.