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 $13.49 Median $31.62 Typical High $323.59 | Facility | None | $13.49 | $31.62 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $95.50 | Professional | None (both parts) | $31.62 | $33.11 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.42 Typical High $52.48 | Professional | 26 · Professional part | $19.95 | $20.42 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $12.59 Typical High $42.66 | Professional | TC · Technical part | $11.48 | $12.59 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $36.31 | $70.79 | $89.13 |
AvMed Setting Facility Modifier None Typical Low $17.78 Median $26.30 Typical High $109.65 | Facility | None | $17.78 | $26.30 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $15.14 Median $19.05 Typical High $52.48 | Professional | None (both parts) | $15.14 | $19.05 | $52.48 |
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 $33.11 Median $39.81 Typical High $134.90 | Professional | None (both parts) | $33.11 | $39.81 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $70.79 | Professional | 26 · Professional part | $20.89 | $21.38 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $13.49 Typical High $64.57 | Professional | TC · Technical part | $12.02 | $13.49 | $64.57 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $154.88 Typical High $331.13 | Facility | None | $70.79 | $154.88 | $331.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $37.15 Median $97.72 Typical High $120.23 | Professional | None (both parts) | $37.15 | $97.72 | $120.23 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $42.66 | $67.61 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $15.85 | $44.67 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $57.54 Typical High $138.04 | Professional | None (both parts) | $21.88 | $57.54 | $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 $38.90 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $38.90 | $60.26 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $36.31 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $25.12 Typical High $56.23 | Professional | TC · Technical part | $15.49 | $25.12 | $56.23 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | TC · Technical part | $14.45 | $14.45 | $14.45 |
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 $15.85 Median $16.60 Typical High $30.20 | Professional | 52 · Reduced service | $15.85 | $16.60 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.61 Typical High $12.30 | Professional | 53 · Discontinued | $6.31 | $6.61 | $12.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $26.30 Typical High $36.31 | Professional | FX · Film X-ray | $25.12 | $26.30 | $36.31 |
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
$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.