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 $60.26 Median $64.57 Typical High $323.59 | Facility | None | $60.26 | $64.57 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $64.57 Typical High $93.33 | Professional | None (both parts) | $60.26 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $23.44 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $40.74 | $60.26 |
AvMed Setting Facility Modifier None Typical Low $26.92 Median $38.90 Typical High $87.10 | Facility | None | $26.92 | $38.90 | $87.10 |
AvMed Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $27.54 | $44.67 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $257.04 Typical High $309.03 | Facility | None | $181.97 | $257.04 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $66.07 | $70.79 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $26.92 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $44.67 | $91.20 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $64.57 Typical High $275.42 | Facility | None | $56.23 | $64.57 | $275.42 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $60.26 | $81.28 | $100.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $24.55 | $38.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $36.31 | $47.86 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.12 Median $47.86 Typical High $141.25 | Professional | None (both parts) | $25.12 | $47.86 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $54.95 | $79.43 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $29.51 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $50.12 | $107.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $97.72 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $22.39 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $89.13 | $89.13 |
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 $30.20 Median $32.36 Typical High $45.71 | Professional | 52 · Reduced service | $30.20 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.88 Typical High $18.20 | Professional | 53 · Discontinued | $12.02 | $12.88 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | FX · Film X-ray | $47.86 | $47.86 | $63.10 |
Where Florida sits
The same service costs 4.6 times more in Alaska than in Oregon. 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
$69.18
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.