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 $147.91 Median $158.49 Typical High $323.59 | Facility | None | $147.91 | $158.49 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $147.91 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $26.92 | $27.54 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $141.25 | $151.36 | $194.98 |
AvMed Setting Facility Modifier None Typical Low $34.67 Median $186.21 Typical High $416.87 | Facility | None | $34.67 | $186.21 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $33.88 Median $69.18 Typical High $245.47 | Professional | None (both parts) | $33.88 | $69.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $346.74 Typical High $524.81 | Facility | None | $177.83 | $346.74 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $69.18 | $72.44 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $29.51 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $39.81 | $42.66 | $69.18 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $204.17 Typical High $6,918.31 | Facility | None | $56.23 | $204.17 | $6,918.31 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $42.66 Median $107.15 Typical High $275.42 | Professional | None (both parts) | $42.66 | $107.15 | $275.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $43.65 | $50.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $61.66 Typical High $234.42 | Professional | TC · Technical part | $25.70 | $61.66 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $194.98 | Professional | None (both parts) | $30.20 | $41.69 | $194.98 |
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 $79.43 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $79.43 | $190.55 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $33.88 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $45.71 | $158.49 | $229.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $234.42 Median $251.19 Typical High $263.03 | Professional | None (both parts) | $234.42 | $251.19 | $263.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | TC · Technical part | $138.04 | $138.04 | $138.04 |
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 $74.13 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $74.13 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $29.51 | $31.62 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $120.23 | $125.89 | $125.89 |
Where Florida sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 44th of 51
$132
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.