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 $41.69 Median $41.69 Typical High $323.59 | Facility | None | $41.69 | $41.69 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $44.67 Typical High $77.62 | Professional | None (both parts) | $33.88 | $44.67 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.49 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $15.49 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $21.88 Typical High $35.48 | Professional | 52 · Reduced service | $19.05 | $21.88 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $14.13 | Professional | 53 · Discontinued | $7.76 | $8.91 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $52.48 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $52.48 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $281.84 Typical High $407.38 | Facility | None | $123.03 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $48.98 Typical High $162.18 | Professional | None (both parts) | $45.71 | $48.98 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $57.54 | Professional | 26 · Professional part | $16.22 | $16.98 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $31.62 Typical High $104.71 | Professional | TC · Technical part | $30.20 | $31.62 | $104.71 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $107.15 | $147.91 | $165.96 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $18.62 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $18.62 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $93.33 | $107.15 |
Molina 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 |
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 $34.67 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $34.67 | $54.95 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $91.20 | Professional | TC · Technical part | $77.62 | $85.11 | $91.20 |
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 $33.11 Median $35.48 Typical High $51.29 | Professional | FX · Film X-ray | $33.11 | $35.48 | $51.29 |
Where Florida sits
The same service costs 7.2 times more in Wisconsin than in Connecticut. 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· 48th of 51
$45.71
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.