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 $70.79 Median $81.28 Typical High $323.59 | Facility | None | $70.79 | $81.28 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $141.25 | Professional | None | $70.79 | $74.13 | $141.25 |
AvMed Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $114.82 | Facility | None | $89.13 | $112.20 | $114.82 |
AvMed Setting Professional Modifier None Typical Low $89.13 Median $109.65 Typical High $117.49 | Professional | None | $89.13 | $109.65 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $588.84 | Facility | None | $346.74 | $478.63 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $114.82 Typical High $213.80 | Professional | None | $75.86 | $114.82 | $213.80 |
Florida Blue Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $128.82 | Professional | None | $75.86 | $83.18 | $128.82 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $181.97 | Professional | None | $83.18 | $107.15 | $181.97 |
United Setting Professional Modifier None Typical Low $54.95 Median $107.15 Typical High $186.21 | Professional | None | $54.95 | $107.15 | $186.21 |
Wellpoint Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $107.15 | Professional | None | $79.43 | $79.43 | $107.15 |
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 $35.48 Median $37.15 Typical High $56.23 | Professional | 52 · Reduced service | $35.48 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.79 Typical High $22.39 | Professional | 53 · Discontinued | $14.13 | $14.79 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $58.88 Typical High $81.28 | Professional | FX · Film X-ray | $56.23 | $58.88 | $81.28 |
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· 50th of 51
$105
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.