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 $9.77 Median $10.47 Typical High $323.59 | Facility | None | $9.77 | $10.47 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $20.42 | Professional | None | $9.77 | $10.47 | $20.42 |
AvMed Setting Facility Modifier None Typical Low $15.49 Median $19.50 Typical High $20.42 | Facility | None | $15.49 | $19.50 | $20.42 |
AvMed Setting Professional Modifier None Typical Low $14.79 Median $19.05 Typical High $38.90 | Professional | None | $14.79 | $19.05 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $151.36 | Facility | None | $102.33 | $138.04 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $117.49 | Professional | None | $11.75 | $19.50 | $117.49 |
Florida Blue Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $112.20 | Facility | None | $43.65 | $74.13 | $112.20 |
Florida Blue Setting Professional Modifier None Typical Low $12.88 Median $14.45 Typical High $83.18 | Professional | None | $12.88 | $14.45 | $83.18 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $53.70 | Professional | None | $24.55 | $34.67 | $53.70 |
United Setting Professional Modifier None Typical Low $11.75 Median $25.12 Typical High $95.50 | Professional | None | $11.75 | $25.12 | $95.50 |
Wellpoint Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $27.54 | Professional | None | $18.20 | $27.54 | $27.54 |
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 $4.79 Median $5.25 Typical High $10.00 | Professional | 52 · Reduced service | $4.79 | $5.25 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.09 Typical High $4.07 | Professional | 53 · Discontinued | $1.95 | $2.09 | $4.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.76 Median $8.32 Typical High $12.88 | Professional | FX · Film X-ray | $7.76 | $8.32 | $12.88 |
Where Florida sits
The same service costs 5.5 times more in Alabama than in Pennsylvania. 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· 39th of 51
$27.54
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.