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 $30.20 Median $30.20 Typical High $50.12 | Facility | None | $30.20 | $30.20 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $79.43 | Professional | None (both parts) | $30.20 | $36.31 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.05 Typical High $40.74 | Professional | 26 · Professional part | $16.22 | $19.05 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.98 Typical High $37.15 | Professional | TC · Technical part | $13.80 | $16.98 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $48.98 | Professional | None (both parts) | $28.18 | $37.15 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.91 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $22.91 | $32.36 |
AvMed Setting Facility Modifier None Typical Low $20.42 Median $30.20 Typical High $109.65 | Facility | None | $20.42 | $30.20 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $17.38 Median $21.38 Typical High $42.66 | Professional | None (both parts) | $17.38 | $21.38 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $234.42 | Facility | None | $134.90 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $30.90 | $33.11 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $16.98 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $15.49 Typical High $57.54 | Professional | TC · Technical part | $14.45 | $15.49 | $57.54 |
Florida Blue Setting Facility Modifier None Typical Low $63.10 Median $66.07 Typical High $66.07 | Facility | None | $63.10 | $66.07 | $66.07 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $32.36 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $32.36 | $60.26 | $95.50 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $17.38 | $28.18 | $34.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $28.18 Typical High $67.61 | Professional | TC · Technical part | $15.14 | $28.18 | $67.61 |
Molina Setting Professional Modifier None (both parts) Typical Low $16.98 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $16.98 | $36.31 | $77.62 |
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 $33.88 Median $42.66 Typical High $89.13 | Professional | None (both parts) | $33.88 | $42.66 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $41.69 | Professional | 26 · Professional part | $18.20 | $20.89 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $47.86 | Professional | TC · Technical part | $15.85 | $19.50 | $47.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | 26 · Professional part | $17.38 | $17.38 | $17.38 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | TC · Technical part | $15.49 | $15.49 | $15.49 |
2 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 FX · Film X-ray Typical Low $23.99 Median $25.12 Typical High $33.88 | Professional | FX · Film X-ray | $23.99 | $25.12 | $33.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $35.48 Median $35.48 Typical High $50.12 | Professional | 59 · Distinct service | $35.48 | $35.48 | $50.12 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$36.31
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.