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 $42.66 Median $44.67 Typical High $323.59 | Facility | None | $42.66 | $44.67 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $42.66 | $44.67 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.95 Typical High $35.48 | Professional | 26 · Professional part | $19.50 | $19.95 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $24.55 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $24.55 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $66.07 | Professional | None (both parts) | $46.77 | $57.54 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $38.02 Median $56.23 Typical High $109.65 | Facility | None | $38.02 | $56.23 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $54.95 | Professional | None (both parts) | $32.36 | $39.81 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $234.42 | Facility | None | $138.04 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $52.48 Typical High $125.89 | Professional | None (both parts) | $45.71 | $52.48 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $21.38 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $21.38 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.92 Typical High $74.13 | Professional | TC · Technical part | $25.12 | $26.92 | $74.13 |
Florida Blue Setting Facility Modifier None Typical Low $51.29 Median $125.89 Typical High $269.15 | Facility | None | $51.29 | $125.89 | $269.15 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $48.98 | $83.18 | $109.65 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $31.62 | $40.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $50.12 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $63.10 Typical High $208.93 | Professional | None (both parts) | $27.54 | $63.10 | $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 $47.86 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $47.86 | $61.66 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $25.70 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $36.31 Typical High $67.61 | Professional | TC · Technical part | $26.30 | $36.31 | $67.61 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $30.20 | $30.20 | $30.20 |
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 $21.38 Median $22.39 Typical High $33.11 | Professional | 52 · Reduced service | $21.38 | $22.39 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.91 Typical High $13.18 | Professional | 53 · Discontinued | $8.51 | $8.91 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $36.31 Typical High $50.12 | Professional | FX · Film X-ray | $33.88 | $36.31 | $50.12 |
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
$56.23
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.