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 $109.65 Median $169.82 Typical High $288.40 | Facility | None | $109.65 | $169.82 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $109.65 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $51.29 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $75.86 | $117.49 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $93.33 | $123.03 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $37.15 | $56.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $72.44 | $72.44 | $100.00 |
AvMed Setting Facility Modifier None Typical Low $107.15 Median $114.82 Typical High $239.88 | Facility | None | $107.15 | $114.82 | $239.88 |
AvMed Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $120.23 | Professional | None (both parts) | $85.11 | $112.20 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $371.54 | Facility | None | $218.78 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $309.03 | Professional | None (both parts) | $107.15 | $123.03 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $34.67 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $85.11 | $223.87 |
Florida Blue Setting Facility Modifier None Typical Low $194.98 Median $204.17 Typical High $213.80 | Facility | None | $194.98 | $204.17 | $213.80 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $93.33 | Facility | 26 · Professional part | $87.10 | $87.10 | $93.33 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $213.80 | Facility | TC · Technical part | $194.98 | $204.17 | $213.80 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $114.82 | $181.97 | $257.04 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $52.48 | $75.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $128.82 | $181.97 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $37.15 | $117.49 | $234.42 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $281.84 | Professional | None (both parts) | $123.03 | $151.36 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $44.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $85.11 | $104.71 | $194.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
2 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 FX · Film X-ray Typical Low $87.10 Median $134.90 Typical High $141.25 | Professional | FX · Film X-ray | $87.10 | $134.90 | $141.25 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | Q6 · Substitute physician, paid per time | $97.72 | $97.72 | $123.03 |
Where Florida sits
The same service costs 4.0 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
$129
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.