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 $85.11 Median $89.13 Typical High $323.59 | Facility | None | $85.11 | $89.13 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $66.07 | $89.13 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $25.70 | $30.90 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $19.95 | $63.10 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
AvMed Setting Facility Modifier None Typical Low $83.18 Median $102.33 Typical High $141.25 | Facility | None | $83.18 | $102.33 | $141.25 |
AvMed Setting Professional Modifier None (both parts) Typical Low $21.38 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $21.38 | $83.18 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $275.42 Typical High $416.87 | Facility | None | $74.13 | $275.42 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $69.18 | $117.49 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $41.69 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $79.43 Typical High $147.91 | Professional | TC · Technical part | $15.14 | $79.43 | $147.91 |
Florida Blue Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $426.58 | Facility | None | $169.82 | $257.04 | $426.58 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $134.90 | Professional | None (both parts) | $93.33 | $100.00 | $134.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $50.12 | Professional | 26 · Professional part | $27.54 | $30.20 | $50.12 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $70.79 | $83.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $104.71 Typical High $181.97 | Professional | None (both parts) | $26.92 | $104.71 | $181.97 |
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 $43.65 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $43.65 | $95.50 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $41.69 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $63.10 Typical High $125.89 | Professional | TC · Technical part | $14.79 | $63.10 | $125.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $134.90 | Professional | None (both parts) | $40.74 | $40.74 | $134.90 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $38.90 | Professional | 26 · Professional part | $11.48 | $11.48 | $38.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $93.33 | Professional | TC · Technical part | $28.84 | $28.84 | $93.33 |
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 $42.66 Median $44.67 Typical High $67.61 | Professional | 52 · Reduced service | $42.66 | $44.67 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $17.78 Typical High $26.92 | Professional | 53 · Discontinued | $16.98 | $17.78 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | FX · Film X-ray | $67.61 | $67.61 | $91.20 |
Where Florida sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 47th of 51
$100
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.