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 $38.90 Median $40.74 Typical High $323.59 | Facility | None | $38.90 | $40.74 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $38.90 | $42.66 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $33.11 | Professional | 26 · Professional part | $16.98 | $19.50 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $21.88 | $23.44 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $42.66 | Professional | 26 · Professional part | $19.50 | $19.50 | $42.66 |
AvMed Setting Facility Modifier None Typical Low $33.11 Median $48.98 Typical High $562.34 | Facility | None | $33.11 | $48.98 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $41.69 | Professional | None (both parts) | $28.18 | $35.48 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $588.84 Typical High $1,047.13 | Facility | None | $158.49 | $588.84 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $112.20 | Professional | None (both parts) | $41.69 | $45.71 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.20 Typical High $50.12 | Professional | 26 · Professional part | $17.78 | $18.20 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $25.70 | $66.07 |
Florida Blue Setting Facility Modifier None Typical Low $41.69 Median $1,023.29 Typical High $7,943.28 | Facility | None | $41.69 | $1,023.29 | $7,943.28 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $41.69 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $41.69 | $69.18 | $79.43 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $30.20 | $34.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $36.31 Typical High $43.65 | Professional | TC · Technical part | $23.44 | $36.31 | $43.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $48.98 Typical High $131.83 | Professional | None (both parts) | $23.44 | $48.98 | $131.83 |
United Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $691.83 | Facility | None | $630.96 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $97.72 | Professional | None (both parts) | $43.65 | $51.29 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $22.39 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $57.54 | Professional | TC · Technical part | $23.99 | $29.51 | $57.54 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.22 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | TC · Technical part | $23.44 | $23.44 | $23.44 |
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 $19.50 Median $20.42 Typical High $30.90 | Professional | 52 · Reduced service | $19.50 | $20.42 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $12.30 | Professional | 53 · Discontinued | $7.76 | $8.32 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $33.11 Typical High $48.98 | Professional | FX · Film X-ray | $30.90 | $33.11 | $48.98 |
Where Florida sits
The same service costs 3.8 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
$46.77
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.