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 $812.83 Typical High $1,621.81 | Facility | None | $169.82 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $25.70 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $9.33 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $15.14 | $120.23 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $21.88 Typical High $30.20 | Professional | None (both parts) | $20.89 | $21.88 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.59 Typical High $12.59 | Professional | 26 · Professional part | $5.37 | $7.59 | $12.59 |
AvMed Setting Facility Modifier None Typical Low $10.96 Median $17.38 Typical High $97.72 | Facility | None | $10.96 | $17.38 | $97.72 |
AvMed Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.85 Typical High $67.61 | Professional | None (both parts) | $12.88 | $15.85 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $53.70 Typical High $85.11 | Facility | None | $33.88 | $53.70 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $20.42 Typical High $117.49 | Professional | None (both parts) | $16.60 | $20.42 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.08 Typical High $18.62 | Professional | 26 · Professional part | $6.61 | $7.08 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.75 Typical High $107.15 | Professional | TC · Technical part | $10.00 | $11.75 | $107.15 |
Florida Blue Setting Facility Modifier None Typical Low $125.89 Median $354.81 Typical High $758.58 | Facility | None | $125.89 | $354.81 | $758.58 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $18.62 Median $30.90 Typical High $144.54 | Professional | None (both parts) | $18.62 | $30.90 | $144.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $11.48 | $13.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $17.78 Typical High $134.90 | Professional | TC · Technical part | $10.96 | $17.78 | $134.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $28.18 Typical High $72.44 | Professional | None (both parts) | $7.94 | $28.18 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $23.99 Typical High $93.33 | Professional | None (both parts) | $17.38 | $23.99 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $7.08 | $8.32 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $14.13 Typical High $79.43 | Professional | TC · Technical part | $9.77 | $14.13 | $79.43 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None (both parts) | $19.95 | $19.95 | $19.95 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 26 · Professional part | $7.24 | $7.24 | $7.24 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | TC · Technical part | $12.59 | $12.59 | $12.59 |
1 more rate 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 FX · Film X-ray Typical Low $19.50 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $19.50 | $138.04 | $138.04 |
Where Florida sits
The same service costs 4.8 times more in Kansas than in New York. 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· 42nd of 51
$28.84
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.