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 $77.62 Median $81.28 Typical High $323.59 | Facility | None | $77.62 | $81.28 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $77.62 | $81.28 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $25.70 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $58.88 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $91.20 | $91.20 | $114.82 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $245.47 | Facility | None | $79.43 | $117.49 | $245.47 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | None (both parts) | $67.61 | $83.18 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $346.74 Typical High $501.19 | Facility | None | $97.72 | $346.74 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $204.17 | Professional | None (both parts) | $79.43 | $83.18 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $24.55 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $144.54 | Professional | TC · Technical part | $54.95 | $58.88 | $144.54 |
Florida Blue Setting Facility Modifier None Typical Low $60.26 Median $346.74 Typical High $7,943.28 | Facility | None | $60.26 | $346.74 | $7,943.28 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $79.43 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $79.43 | $112.20 | $158.49 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $39.81 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $75.86 | $109.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $275.42 | Professional | None (both parts) | $33.11 | $100.00 | $275.42 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $190.55 | Professional | None (both parts) | $81.28 | $97.72 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $60.26 | Professional | 26 · Professional part | $26.30 | $30.20 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $134.90 | Professional | TC · Technical part | $57.54 | $67.61 | $134.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
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 $38.90 Median $40.74 Typical High $58.88 | Professional | 52 · Reduced service | $38.90 | $40.74 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $23.44 | Professional | 53 · Discontinued | $15.49 | $16.22 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $64.57 Typical High $83.18 | Professional | FX · Film X-ray | $61.66 | $64.57 | $83.18 |
Where Florida sits
The same service costs 3.9 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
$93.33
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.