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 $28.84 Median $30.90 Typical High $323.59 | Facility | None | $28.84 | $30.90 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $28.84 | $34.67 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $8.91 | $10.96 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $23.44 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $35.48 | $57.54 | $102.33 |
AvMed Setting Facility Modifier None Typical Low $32.36 Median $46.77 Typical High $109.65 | Facility | None | $32.36 | $46.77 | $109.65 |
AvMed Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $35.48 | Professional | None (both parts) | $25.70 | $30.90 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $213.80 | Facility | None | $54.95 | $104.71 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $32.36 Typical High $75.86 | Professional | None (both parts) | $30.20 | $32.36 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $26.30 | Professional | 26 · Professional part | $9.33 | $10.00 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $20.42 | $22.91 | $53.70 |
Florida Blue Setting Facility Modifier None Typical Low $56.23 Median $114.82 Typical High $173.78 | Facility | None | $56.23 | $114.82 | $173.78 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $53.70 | Professional | None (both parts) | $30.90 | $42.66 | $53.70 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $14.45 | $19.05 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $26.92 | $31.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $30.20 Typical High $74.13 | Professional | None (both parts) | $7.94 | $30.20 | $74.13 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $30.20 | $36.31 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.30 Typical High $23.44 | Professional | 26 · Professional part | $10.47 | $12.30 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $25.12 | $47.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None (both parts) | $25.70 | $25.70 | $25.70 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 26 · Professional part | $7.24 | $7.24 | $7.24 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $18.62 | Professional | TC · Technical part | $18.62 | $18.62 | $18.62 |
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 52 · Reduced service Typical Low $14.45 Median $15.14 Typical High $22.91 | Professional | 52 · Reduced service | $14.45 | $15.14 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $24.55 Typical High $34.67 | Professional | FX · Film X-ray | $22.91 | $24.55 | $34.67 |
Where Florida sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$33.88
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.