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 $61.66 Typical High $323.59 | Facility | None | $60.26 | $61.66 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $60.26 | $61.66 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $44.67 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.38 Typical High $47.86 | Professional | TC · Technical part | $16.22 | $17.38 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $70.79 | $117.49 |
AvMed Setting Facility Modifier None Typical Low $21.88 Median $27.54 Typical High $61.66 | Facility | None | $21.88 | $27.54 | $61.66 |
AvMed Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $102.33 | Professional | None (both parts) | $23.44 | $29.51 | $102.33 |
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 $64.57 Median $67.61 Typical High $165.96 | Professional | None (both parts) | $64.57 | $67.61 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $47.86 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $66.07 | Professional | TC · Technical part | $18.20 | $19.50 | $66.07 |
Florida Blue Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $1,000.00 | Facility | None | $194.98 | $234.42 | $1,000.00 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $309.03 | Professional | None (both parts) | $66.07 | $70.79 | $309.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $50.12 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $223.87 | Professional | TC · Technical part | $19.50 | $21.38 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $75.86 Typical High $162.18 | Professional | None (both parts) | $32.36 | $75.86 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $60.26 | $77.62 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $109.65 | Professional | TC · Technical part | $18.62 | $22.39 | $109.65 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $66.07 | $66.07 | $95.50 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $46.77 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $27.54 | Professional | TC · Technical part | $19.95 | $19.95 | $27.54 |
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 $30.90 Typical High $44.67 | Professional | 52 · Reduced service | $30.20 | $30.90 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $18.20 | Professional | 53 · Discontinued | $12.02 | $12.59 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | FX · Film X-ray | $47.86 | $47.86 | $61.66 |
Where Florida sits
The same service costs 5.2 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· 49th of 51
$72.44
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.