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 $162.18 Median $173.78 Typical High $478.63 | Facility | None | $162.18 | $173.78 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $173.78 Typical High $489.78 | Professional | None | $162.18 | $173.78 | $489.78 |
Ambetter Setting Professional Modifier None Typical Low $338.84 Median $363.08 Typical High $363.08 | Professional | None | $338.84 | $363.08 | $363.08 |
AvMed Setting Facility Modifier None Typical Low $371.54 Median $467.74 Typical High $575.44 | Facility | None | $371.54 | $467.74 | $575.44 |
AvMed Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $467.74 | Professional | None | $194.98 | $363.08 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $281.84 Typical High $691.83 | Facility | None | $208.93 | $281.84 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $575.44 | Professional | None | $158.49 | $229.09 | $575.44 |
Florida Blue Setting Facility Modifier None Typical Low $190.55 Median $331.13 Typical High $489.78 | Facility | None | $190.55 | $331.13 | $489.78 |
Florida Blue Setting Professional Modifier None Typical Low $95.50 Median $295.12 Typical High $398.11 | Professional | None | $95.50 | $295.12 | $398.11 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $457.09 Typical High $776.25 | Professional | None | $173.78 | $457.09 | $776.25 |
United Setting Facility Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Facility | None | $645.65 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $54.95 Median $213.80 Typical High $426.58 | Professional | None | $54.95 | $213.80 | $426.58 |
Wellpoint Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $426.58 | Professional | None | $158.49 | $158.49 | $426.58 |
5 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 $81.28 Median $87.10 Typical High $123.03 | Professional | 52 · Reduced service | $81.28 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $34.67 Typical High $48.98 | Professional | 53 · Discontinued | $32.36 | $34.67 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $138.04 Typical High $177.83 | Professional | FX · Film X-ray | $128.82 | $138.04 | $177.83 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 76 · Repeat, same provider | $338.84 | $338.84 | $338.84 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $338.84 Median $354.81 Typical High $426.58 | Professional | Q6 · Substitute physician, paid per time | $338.84 | $354.81 | $426.58 |
Where Florida sits
The same service costs 5.1 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· 42nd of 51
$263
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.