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 $346.74 Typical High $363.08 | Facility | None | $323.59 | $346.74 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $363.08 Typical High $575.44 | Professional | None (both parts) | $346.74 | $363.08 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $204.17 Typical High $316.23 | Professional | 26 · Professional part | $194.98 | $204.17 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $147.91 | $158.49 | $263.03 |
AvMed Setting Facility Modifier None Typical Low $218.78 Median $269.15 Typical High $575.44 | Facility | None | $218.78 | $269.15 | $575.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $194.98 | $218.78 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $602.56 Typical High $1,174.90 | Facility | None | $239.88 | $602.56 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $549.54 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $316.23 Typical High $616.60 | Professional | 26 · Professional part | $213.80 | $316.23 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $229.09 | $416.87 |
Florida Blue Setting Facility Modifier None Typical Low $501.19 Median $1,071.52 Typical High $1,071.52 | Facility | None | $501.19 | $1,071.52 | $1,071.52 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Facility | 26 · Professional part | $1,047.13 | $1,071.52 | $1,071.52 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,047.13 Median $1,071.52 Typical High $1,071.52 | Facility | TC · Technical part | $1,047.13 | $1,071.52 | $1,071.52 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $380.19 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $380.19 | $416.87 | $575.44 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $234.42 Typical High $346.74 | Professional | 26 · Professional part | $208.93 | $234.42 | $346.74 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $144.54 | $173.78 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $691.83 | Professional | None (both parts) | $218.78 | $338.84 | $691.83 |
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 $489.78 Typical High $870.96 | Professional | None (both parts) | $54.95 | $489.78 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $537.03 | Professional | 26 · Professional part | $239.88 | $309.03 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $213.80 | $398.11 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $371.54 | $371.54 | $549.54 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $302.00 | Professional | 26 · Professional part | $199.53 | $199.53 | $302.00 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $245.47 | Professional | TC · Technical part | $169.82 | $169.82 | $245.47 |
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 $173.78 Median $181.97 Typical High $288.40 | Professional | 52 · Reduced service | $173.78 | $181.97 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $72.44 Typical High $114.82 | Professional | 53 · Discontinued | $69.18 | $72.44 | $114.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $239.88 Median $251.19 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $239.88 | $251.19 | $407.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $288.40 Typical High $407.38 | Professional | FX · Film X-ray | $275.42 | $288.40 | $407.38 |
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
$398
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.