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 $44.67 Median $47.86 Typical High $323.59 | Facility | None | $44.67 | $47.86 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $72.44 | Professional | None (both parts) | $44.67 | $47.86 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $5.37 Typical High $7.94 | Professional | 26 · Professional part | $5.25 | $5.37 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $39.81 | $42.66 | $66.07 |
AvMed Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $1,348.96 | Facility | None | $61.66 | $91.20 | $1,348.96 |
AvMed Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $52.48 | $63.10 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,023.29 Typical High $1,445.44 | Facility | None | $354.81 | $1,023.29 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $46.77 | $69.18 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.94 Typical High $21.38 | Professional | 26 · Professional part | $5.50 | $7.94 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $57.54 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $57.54 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $38.02 Median $2,511.89 Typical High $2,511.89 | Facility | None | $38.02 | $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 $48.98 Median $53.70 Typical High $134.90 | Professional | None (both parts) | $48.98 | $53.70 | $134.90 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.31 Typical High $12.88 | Professional | 26 · Professional part | $5.50 | $6.31 | $12.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $45.71 | $123.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.61 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $6.61 | $63.10 | $123.03 |
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 $39.81 Median $61.66 Typical High $114.82 | Professional | None (both parts) | $39.81 | $61.66 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $7.94 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $45.71 | $63.10 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | None (both parts) | $54.95 | $54.95 | $69.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $7.94 | Professional | 26 · Professional part | $6.03 | $6.03 | $7.94 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $48.98 | $48.98 | $61.66 |
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 $22.39 Median $23.99 Typical High $37.15 | Professional | 52 · Reduced service | $22.39 | $23.99 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.55 Typical High $14.79 | Professional | 53 · Discontinued | $8.91 | $9.55 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $35.48 Typical High $53.70 | Professional | FX · Film X-ray | $35.48 | $35.48 | $53.70 |
Where Florida sits
The same service costs 8.1 times more in Alabama 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· 49th of 51
$64.57
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.