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 $169.82 Median $933.25 Typical High $2,089.30 | Facility | None | $169.82 | $933.25 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $125.89 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $51.29 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $69.18 | $120.23 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $45.71 | $58.88 |
AvMed Setting Facility Modifier None Typical Low $44.67 Median $56.23 Typical High $131.83 | Facility | None | $44.67 | $56.23 | $131.83 |
AvMed Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $102.33 | Professional | None (both parts) | $46.77 | $61.66 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $223.87 Typical High $275.42 | Facility | None | $162.18 | $223.87 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $190.55 | Professional | None (both parts) | $77.62 | $81.28 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $40.74 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $104.71 | Professional | TC · Technical part | $38.90 | $41.69 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $562.34 | Facility | None | $109.65 | $131.83 | $562.34 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $194.98 | Professional | None (both parts) | $77.62 | $83.18 | $194.98 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $38.90 | $41.69 | $66.07 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $41.69 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $42.66 | $87.10 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $60.26 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $48.98 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $54.95 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None (both parts) | $83.18 | $83.18 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $39.81 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $56.23 | Professional | TC · Technical part | $42.66 | $42.66 | $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 $61.66 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $138.04 | $138.04 | $138.04 |
Where Florida sits
The same service costs 5.6 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
$97.72
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.