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 $691.83 Typical High $741.31 | Facility | None | $323.59 | $691.83 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $741.31 Typical High $1,122.02 | Professional | None (both parts) | $691.83 | $741.31 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $63.10 | $64.57 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $676.08 Typical High $1,023.29 | Professional | TC · Technical part | $630.96 | $676.08 | $1,023.29 |
AvMed Setting Facility Modifier None Typical Low $575.44 Median $933.25 Typical High $1,023.29 | Facility | None | $575.44 | $933.25 | $1,023.29 |
AvMed Setting Professional Modifier None (both parts) Typical Low $741.31 Median $831.76 Typical High $1,023.29 | Professional | None (both parts) | $741.31 | $831.76 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $416.87 Typical High $1,659.59 | Facility | None | $239.88 | $416.87 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $724.44 | $1,000.00 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $67.61 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $891.25 Typical High $1,737.80 | Professional | TC · Technical part | $660.69 | $891.25 | $1,737.80 |
Florida Blue Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $912.01 | Facility | None | $346.74 | $602.56 | $912.01 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $281.84 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $281.84 | $707.95 | $1,071.52 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $74.13 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $74.13 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $645.65 Typical High $933.25 | Professional | TC · Technical part | $165.96 | $645.65 | $933.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $912.01 Typical High $1,548.82 | Professional | None (both parts) | $89.13 | $912.01 | $1,548.82 |
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 $870.96 Typical High $1,698.24 | Professional | None (both parts) | $54.95 | $870.96 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $104.71 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $851.14 Typical High $1,584.89 | Professional | TC · Technical part | $588.84 | $851.14 | $1,584.89 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,023.29 | Professional | None (both parts) | $831.76 | $831.76 | $1,023.29 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $74.13 | $95.50 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $758.58 Typical High $933.25 | Professional | TC · Technical part | $758.58 | $758.58 | $933.25 |
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 $346.74 Median $371.54 Typical High $549.54 | Professional | 52 · Reduced service | $346.74 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $223.87 | Professional | 53 · Discontinued | $138.04 | $147.91 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $562.34 Median $588.84 Typical High $812.83 | Professional | FX · Film X-ray | $562.34 | $588.84 | $812.83 |
Where Florida sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$851
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.