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 $45.71 Median $48.98 Typical High $323.59 | Facility | None | $45.71 | $48.98 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $45.71 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.61 Typical High $9.77 | Professional | 26 · Professional part | $6.46 | $6.61 | $9.77 |
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 $416.87 | Facility | None | $61.66 | $91.20 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $52.48 | $66.07 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $831.76 Typical High $1,445.44 | Facility | None | $223.87 | $831.76 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $75.86 Typical High $181.97 | Professional | None (both parts) | $47.86 | $75.86 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.55 Typical High $25.70 | Professional | 26 · Professional part | $6.76 | $9.55 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $154.88 | Professional | TC · Technical part | $41.69 | $66.07 | $154.88 |
Florida Blue Setting Facility Modifier None Typical Low $69.18 Median $776.25 Typical High $776.25 | Facility | None | $69.18 | $776.25 | $776.25 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $758.58 Median $776.25 Typical High $776.25 | Facility | 26 · Professional part | $758.58 | $776.25 | $776.25 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $758.58 Median $776.25 Typical High $776.25 | Facility | TC · Technical part | $758.58 | $776.25 | $776.25 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $125.89 | Professional | None (both parts) | $48.98 | $64.57 | $125.89 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $7.24 | $15.14 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $48.98 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $48.98 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.76 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $7.76 | $63.10 | $123.03 |
United Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $501.19 | Facility | None | $467.74 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $48.98 | $67.61 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $17.78 | Professional | 26 · Professional part | $8.13 | $9.55 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $63.10 | $112.20 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $56.23 | $56.23 | $70.79 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.08 Typical High $9.33 | Professional | 26 · Professional part | $7.08 | $7.08 | $9.33 |
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 $22.91 Median $24.55 Typical High $38.02 | Professional | 52 · Reduced service | $22.91 | $24.55 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.77 Typical High $15.14 | Professional | 53 · Discontinued | $9.12 | $9.77 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $36.31 Median $38.90 Typical High $57.54 | Professional | FX · Film X-ray | $36.31 | $38.90 | $57.54 |
Where Florida sits
The same service costs 7.2 times more in Alabama than in Texas. 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· 50th of 51
$67.61
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.