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 $323.59 Median $446.68 Typical High $478.63 | Facility | None | $323.59 | $446.68 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $478.63 Typical High $831.76 | Professional | None (both parts) | $446.68 | $478.63 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $45.71 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $426.58 Typical High $758.58 | Professional | TC · Technical part | $398.11 | $426.58 | $758.58 |
AvMed Setting Facility Modifier None Typical Low $501.19 Median $575.44 Typical High $630.96 | Facility | None | $501.19 | $575.44 | $630.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $467.74 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $467.74 | $524.81 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $1,258.93 | Facility | None | $239.88 | $416.87 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $691.83 Typical High $1,659.59 | Professional | None (both parts) | $467.74 | $691.83 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $75.86 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $616.60 Typical High $1,513.56 | Professional | TC · Technical part | $416.87 | $616.60 | $1,513.56 |
Florida Blue Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $676.08 | Facility | None | $263.03 | $446.68 | $676.08 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $208.93 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $208.93 | $457.09 | $741.31 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $52.48 | $87.10 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $407.38 Typical High $645.65 | Professional | TC · Technical part | $123.03 | $407.38 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $61.66 Median $575.44 Typical High $977.24 | Professional | None (both parts) | $61.66 | $575.44 | $977.24 |
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 (both parts) Typical Low $54.95 Median $602.56 Typical High $1,258.93 | Professional | None (both parts) | $54.95 | $602.56 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $75.86 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $602.56 Typical High $1,174.90 | Professional | TC · Technical part | $416.87 | $602.56 | $1,174.90 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $645.65 | Professional | None (both parts) | $524.81 | $524.81 | $645.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $53.70 | $53.70 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $467.74 | $467.74 | $575.44 |
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 $223.87 Median $239.88 Typical High $416.87 | Professional | 52 · Reduced service | $223.87 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $95.50 Typical High $165.96 | Professional | 53 · Discontinued | $89.13 | $95.50 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $380.19 Typical High $537.03 | Professional | FX · Film X-ray | $354.81 | $380.19 | $537.03 |
Where Florida sits
The same service costs 5.1 times more in Alaska than in Texas. 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· 49th of 51
$562
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.