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 $70.79 Median $75.86 Typical High $323.59 | Facility | None | $70.79 | $75.86 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $70.79 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $16.60 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $58.88 | $91.20 |
AvMed Setting Facility Modifier None Typical Low $83.18 Median $123.03 Typical High $416.87 | Facility | None | $83.18 | $123.03 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $70.79 | $89.13 | $131.83 |
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 $74.13 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $74.13 | $117.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $24.55 Typical High $67.61 | Professional | 26 · Professional part | $16.98 | $24.55 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $234.42 | Professional | TC · Technical part | $57.54 | $91.20 | $234.42 |
Florida Blue Setting Facility Modifier None Typical Low $154.88 Median $776.25 Typical High $776.25 | Facility | None | $154.88 | $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 $74.13 Median $102.33 Typical High $208.93 | Professional | None (both parts) | $74.13 | $102.33 | $208.93 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $39.81 | Professional | 26 · Professional part | $16.60 | $19.05 | $39.81 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $169.82 | Professional | TC · Technical part | $57.54 | $66.07 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $107.15 Typical High $213.80 | Professional | None (both parts) | $28.18 | $107.15 | $213.80 |
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 $54.95 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $54.95 | $109.65 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $25.12 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $89.13 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $85.11 | $85.11 | $109.65 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 26 · Professional part | $18.62 | $18.62 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | TC · Technical part | $67.61 | $67.61 | $83.18 |
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 $35.48 Median $38.02 Typical High $58.88 | Professional | 52 · Reduced service | $35.48 | $38.02 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $23.99 | Professional | 53 · Discontinued | $14.45 | $15.14 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $89.13 | Professional | FX · Film X-ray | $57.54 | $60.26 | $89.13 |
Where Florida sits
The same service costs 4.6 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· 49th of 51
$110
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.