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 $51.29 Median $53.70 Typical High $323.59 | Facility | None | $51.29 | $53.70 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $53.70 Typical High $79.43 | Professional | None (both parts) | $51.29 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $21.38 | $21.88 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $30.20 | $31.62 | $48.98 |
AvMed Setting Facility Modifier None Typical Low $38.90 Median $47.86 Typical High $107.15 | Facility | None | $38.90 | $47.86 | $107.15 |
AvMed Setting Professional Modifier None (both parts) Typical Low $18.20 Median $41.69 Typical High $52.48 | Professional | None (both parts) | $18.20 | $41.69 | $52.48 |
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 $39.81 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $39.81 | $56.23 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $17.78 | $22.39 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $19.95 | $33.11 | $63.10 |
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 $43.65 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $43.65 | $58.88 | $83.18 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $17.78 | $22.39 | $30.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $35.48 | $61.66 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $67.61 Typical High $144.54 | Professional | None (both parts) | $27.54 | $67.61 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $107.15 | Professional | None (both parts) | $37.15 | $60.26 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $15.14 | $26.92 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $63.10 | Professional | TC · Technical part | $21.88 | $35.48 | $63.10 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $79.43 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $79.43 | $81.28 | $81.28 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $47.86 | $50.12 | $50.12 |
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 $25.70 Median $26.92 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $26.92 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $14.79 | Professional | 53 · Discontinued | $10.23 | $10.72 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $40.74 Typical High $53.70 | Professional | FX · Film X-ray | $40.74 | $40.74 | $53.70 |
Where Florida sits
The same service costs 5.9 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· 48th of 51
$57.54
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.