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 $281.84 Median $302.00 Typical High $323.59 | Facility | None | $281.84 | $302.00 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $281.84 | $302.00 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $23.99 | $24.55 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $275.42 | $389.05 |
AvMed Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $1,348.96 | Facility | None | $338.84 | $501.19 | $1,348.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $407.38 | Professional | None (both parts) | $288.40 | $363.08 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $2,089.30 Typical High $2,951.21 | Facility | None | $309.03 | $2,089.30 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $354.81 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $95.50 | Professional | 26 · Professional part | $25.12 | $33.11 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $954.99 | Professional | TC · Technical part | $257.04 | $323.59 | $954.99 |
Florida Blue Setting Facility Modifier None Typical Low $213.80 Median $2,511.89 Typical High $2,511.89 | Facility | None | $213.80 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | 26 · Professional part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | TC · Technical part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $263.03 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $263.03 | $281.84 | $602.56 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $27.54 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $251.19 | $549.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $33.11 | $371.54 | $707.95 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $54.95 | $354.81 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $33.11 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $346.74 | $676.08 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $302.00 | $302.00 | $398.11 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $26.30 | $26.30 | $35.48 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $275.42 | $275.42 | $363.08 |
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 $141.25 Median $151.36 Typical High $213.80 | Professional | 52 · Reduced service | $141.25 | $151.36 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $60.26 Typical High $85.11 | Professional | 53 · Discontinued | $56.23 | $60.26 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $309.03 | Professional | FX · Film X-ray | $223.87 | $223.87 | $309.03 |
Where Florida sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$372
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.