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 $302.00 Median $316.23 Typical High $501.19 | Facility | None | $302.00 | $316.23 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $851.14 | Professional | None (both parts) | $302.00 | $389.05 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $398.11 | Professional | 26 · Professional part | $144.54 | $186.21 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $199.53 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $323.59 | $398.11 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $177.83 | $208.93 | $331.13 |
AvMed Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $389.05 | Facility | None | $208.93 | $263.03 | $389.05 |
AvMed Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $190.55 | $245.47 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $724.44 Typical High $1,071.52 | Facility | None | $208.93 | $724.44 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $316.23 | $489.78 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $446.68 | Professional | 26 · Professional part | $158.49 | $234.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $162.18 | $257.04 | $549.54 |
Florida Blue Setting Facility Modifier None Typical Low $501.19 Median $707.95 Typical High $724.44 | Facility | None | $501.19 | $707.95 | $724.44 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $323.59 Median $436.52 Typical High $660.69 | Professional | None (both parts) | $323.59 | $436.52 | $660.69 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $223.87 Typical High $288.40 | Professional | 26 · Professional part | $158.49 | $223.87 | $288.40 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $251.19 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $190.55 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $190.55 | $269.15 | $562.34 |
United Setting Facility Modifier None Typical Low $436.52 Median $467.74 Typical High $467.74 | Facility | None | $436.52 | $467.74 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $389.05 | $501.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $234.42 Typical High $398.11 | Professional | 26 · Professional part | $177.83 | $234.42 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $199.53 | $263.03 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $363.08 | $363.08 | $467.74 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | 26 · Professional part | $173.78 | $173.78 | $223.87 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $194.98 | $194.98 | $239.88 |
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 FX · Film X-ray Typical Low $239.88 Median $251.19 Typical High $346.74 | Professional | FX · Film X-ray | $239.88 | $251.19 | $346.74 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $371.54 Median $371.54 Typical High $389.05 | Professional | 59 · Distinct service | $371.54 | $371.54 | $389.05 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Florida. 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· 51st of 51
$372
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.