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 $177.83 Median $177.83 Typical High $323.59 | Facility | None | $177.83 | $177.83 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $177.83 | $213.80 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $33.11 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $181.97 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $208.93 | $208.93 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $35.48 | $54.95 |
AvMed Setting Facility Modifier None Typical Low $141.25 Median $223.87 Typical High $239.88 | Facility | None | $141.25 | $223.87 | $239.88 |
AvMed Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $158.49 | $194.98 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $190.55 Typical High $426.58 | Facility | None | $74.13 | $190.55 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $478.63 | Professional | None (both parts) | $181.97 | $245.47 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $70.79 | Professional | 26 · Professional part | $26.92 | $39.81 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $154.88 | $213.80 | $416.87 |
Florida Blue Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $691.83 | Facility | None | $251.19 | $257.04 | $691.83 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $251.19 Median $257.04 Typical High $257.04 | Facility | 26 · Professional part | $251.19 | $257.04 | $257.04 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $257.04 Typical High $257.04 | Facility | TC · Technical part | $251.19 | $257.04 | $257.04 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $245.47 | Professional | None (both parts) | $181.97 | $181.97 | $245.47 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $28.84 | $42.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $141.25 | $154.88 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $31.62 | $234.42 | $389.05 |
United Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $169.82 | Facility | None | $154.88 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $54.95 | $229.09 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $147.91 | $199.53 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $144.54 | $144.54 | $257.04 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $37.15 | Professional | 26 · Professional part | $19.95 | $19.95 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | TC · Technical part | $125.89 | $125.89 | $223.87 |
4 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 $89.13 Median $95.50 Typical High $141.25 | Professional | 52 · Reduced service | $89.13 | $95.50 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.02 Typical High $56.23 | Professional | 53 · Discontinued | $35.48 | $38.02 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $151.36 Typical High $199.53 | Professional | FX · Film X-ray | $141.25 | $151.36 | $199.53 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $218.78 Median $218.78 Typical High $257.04 | Professional | Q6 · Substitute physician, paid per time | $218.78 | $218.78 | $257.04 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 48th of 51
$229
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.