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 $263.03 Median $275.42 Typical High $323.59 | Facility | None | $263.03 | $275.42 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $263.03 | $275.42 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $134.90 Typical High $213.80 | Professional | 26 · Professional part | $131.83 | $134.90 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $128.82 | $138.04 | $213.80 |
AvMed Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $575.44 | Facility | None | $186.21 | $234.42 | $575.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $234.42 | Professional | None (both parts) | $165.96 | $190.55 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $602.56 Typical High $1,174.90 | Facility | None | $223.87 | $602.56 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $288.40 | $407.38 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $208.93 Typical High $380.19 | Professional | 26 · Professional part | $141.25 | $208.93 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $199.53 | $354.81 |
Florida Blue Setting Facility Modifier None Typical Low $223.87 Median $446.68 Typical High $1,071.52 | Facility | None | $223.87 | $446.68 | $1,071.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $288.40 | $309.03 | $426.58 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $154.88 Typical High $229.09 | Professional | 26 · Professional part | $141.25 | $154.88 | $229.09 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $102.33 | $151.36 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $165.96 | $263.03 | $537.03 |
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 $354.81 Typical High $660.69 | Professional | None (both parts) | $54.95 | $354.81 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $204.17 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $144.54 | $181.97 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $302.00 | $302.00 | $416.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $141.25 | $141.25 | $199.53 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $158.49 | $213.80 |
4 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 $131.83 Median $138.04 Typical High $213.80 | Professional | 52 · Reduced service | $131.83 | $138.04 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $54.95 Typical High $87.10 | Professional | 53 · Discontinued | $52.48 | $54.95 | $87.10 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $190.55 Typical High $309.03 | Professional | 78 · Unplanned return to OR | $181.97 | $190.55 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $218.78 Typical High $309.03 | Professional | FX · Film X-ray | $208.93 | $218.78 | $309.03 |
Where Florida sits
The same service costs 5.6 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
$302
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.