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 $199.53 Median $812.83 Typical High $1,621.81 | Facility | None | $199.53 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $128.82 | $169.82 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $51.29 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $120.23 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $37.15 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $91.20 Typical High $199.53 | Facility | None | $58.88 | $91.20 | $199.53 |
AvMed Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $112.20 | Professional | None (both parts) | $70.79 | $89.13 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $204.17 Typical High $245.47 | Facility | None | $144.54 | $204.17 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $93.33 | $165.96 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $33.88 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $257.04 | Professional | TC · Technical part | $61.66 | $104.71 | $257.04 |
Florida Blue Setting Facility Modifier None Typical Low $138.04 Median $354.81 Typical High $758.58 | Facility | None | $138.04 | $354.81 | $758.58 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $107.15 | $181.97 | $213.80 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $54.95 | $66.07 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $69.18 | $120.23 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $112.20 Typical High $269.15 | Professional | None (both parts) | $33.88 | $112.20 | $269.15 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $102.33 | $134.90 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $40.74 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $95.50 | $186.21 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | TC · Technical part | $57.54 | $57.54 | $57.54 |
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 $25.12 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $25.12 | $33.88 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $104.71 | $138.04 | $138.04 |
Where Florida sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 46th of 51
$132
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.