How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $46.77 Median $53.70 Typical High $323.59 | Facility | None | $46.77 | $53.70 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $53.70 Typical High $104.71 | Professional | None | $46.77 | $53.70 | $104.71 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $93.33 | Professional | None | $56.23 | $56.23 | $93.33 |
AvMed Setting Facility Modifier None Typical Low $57.54 Median $72.44 Typical High $74.13 | Facility | None | $57.54 | $72.44 | $74.13 |
AvMed Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $75.86 | Professional | None | $57.54 | $72.44 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $234.42 | Facility | None | $134.90 | $190.55 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $141.25 | Professional | None | $50.12 | $74.13 | $141.25 |
Florida Blue Setting Professional Modifier None Typical Low $48.98 Median $53.70 Typical High $85.11 | Professional | None | $48.98 | $53.70 | $85.11 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $70.79 Typical High $123.03 | Professional | None | $54.95 | $70.79 | $123.03 |
United Setting Professional Modifier None Typical Low $51.29 Median $70.79 Typical High $120.23 | Professional | None | $51.29 | $70.79 | $120.23 |
Wellpoint Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | None | $52.48 | $52.48 | $69.18 |
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 $23.44 Median $23.99 Typical High $36.31 | Professional | 52 · Reduced service | $23.44 | $23.99 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.77 Typical High $14.79 | Professional | 53 · Discontinued | $9.33 | $9.77 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $38.90 Typical High $53.70 | Professional | FX · Film X-ray | $37.15 | $38.90 | $53.70 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in New York. 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
$69.18
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.