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 $37.15 Median $38.90 Typical High $323.59 | Facility | None | $37.15 | $38.90 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $89.13 | Professional | None (both parts) | $37.15 | $38.90 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $23.44 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $14.79 Typical High $43.65 | Professional | TC · Technical part | $13.80 | $14.79 | $43.65 |
AvMed Setting Facility Modifier None Typical Low $21.38 Median $31.62 Typical High $109.65 | Facility | None | $21.38 | $31.62 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.91 Typical High $58.88 | Professional | None (both parts) | $18.20 | $22.91 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $245.47 Typical High $346.74 | Facility | None | $138.04 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $147.91 | Professional | None (both parts) | $38.90 | $47.86 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $25.12 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $72.44 | Professional | TC · Technical part | $14.45 | $16.22 | $72.44 |
Florida Blue Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $269.15 | Facility | None | $77.62 | $125.89 | $269.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $40.74 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $40.74 | $102.33 | $131.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $52.48 | $69.18 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $19.05 | $50.12 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $58.88 Typical High $138.04 | Professional | None (both parts) | $25.12 | $58.88 | $138.04 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $44.67 | $67.61 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $26.92 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $30.20 Typical High $64.57 | Professional | TC · Technical part | $18.62 | $30.20 | $64.57 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | TC · Technical part | $17.38 | $17.38 | $17.38 |
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 $18.62 Median $19.05 Typical High $35.48 | Professional | 52 · Reduced service | $18.62 | $19.05 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $14.13 | Professional | 53 · Discontinued | $7.41 | $7.76 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $30.90 Typical High $43.65 | Professional | FX · Film X-ray | $29.51 | $30.90 | $43.65 |
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· 49th of 51
$51.29
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.