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 $50.12 Median $52.48 Typical High $323.59 | Facility | None | $50.12 | $52.48 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $50.12 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $21.38 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $56.23 | Professional | TC · Technical part | $28.84 | $30.90 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $58.88 | $109.65 | $109.65 |
AvMed Setting Facility Modifier None Typical Low $42.66 Median $61.66 Typical High $109.65 | Facility | None | $42.66 | $61.66 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $64.57 | Professional | None (both parts) | $36.31 | $45.71 | $64.57 |
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 $51.29 Median $60.26 Typical High $154.88 | Professional | None (both parts) | $51.29 | $60.26 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $60.26 | Professional | 26 · Professional part | $22.39 | $22.91 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $32.36 Typical High $104.71 | Professional | TC · Technical part | $28.84 | $32.36 | $104.71 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $154.88 Typical High $331.13 | Facility | None | $60.26 | $154.88 | $331.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $54.95 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $54.95 | $102.33 | $123.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $22.91 | $38.02 | $45.71 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $63.10 Typical High $79.43 | Professional | TC · Technical part | $31.62 | $63.10 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $66.07 Typical High $208.93 | Professional | None (both parts) | $28.84 | $66.07 | $208.93 |
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 $61.66 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $61.66 | $77.62 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $50.12 | $95.50 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | TC · Technical part | $34.67 | $34.67 | $34.67 |
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 $25.12 Median $26.30 Typical High $38.02 | Professional | 52 · Reduced service | $25.12 | $26.30 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $15.14 | Professional | 53 · Discontinued | $10.00 | $10.47 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $41.69 Typical High $56.23 | Professional | FX · Film X-ray | $39.81 | $41.69 | $56.23 |
Where Florida sits
The same service costs 3.7 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
$66.07
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.