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 $109.65 Median $114.82 Typical High $323.59 | Facility | None | $109.65 | $114.82 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $109.65 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $16.98 | Professional | 26 · Professional part | $10.96 | $10.96 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $151.36 | Professional | TC · Technical part | $97.72 | $104.71 | $151.36 |
AvMed Setting Facility Modifier None Typical Low $131.83 Median $194.98 Typical High $416.87 | Facility | None | $131.83 | $194.98 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $112.20 | $141.25 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $630.96 Typical High $891.25 | Facility | None | $229.09 | $630.96 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $398.11 | Professional | None (both parts) | $107.15 | $158.49 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.22 Typical High $44.67 | Professional | 26 · Professional part | $11.48 | $16.22 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $363.08 | Professional | TC · Technical part | $95.50 | $134.90 | $363.08 |
Florida Blue Setting Facility Modifier None Typical Low $93.33 Median $776.25 Typical High $776.25 | Facility | None | $93.33 | $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 $104.71 Median $117.49 Typical High $281.84 | Professional | None (both parts) | $104.71 | $117.49 | $281.84 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $10.96 | $12.59 | $26.30 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $100.00 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.49 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $13.49 | $131.83 | $245.47 |
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 $144.54 Typical High $269.15 | Professional | None (both parts) | $54.95 | $144.54 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $13.80 | $16.22 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $112.20 | $144.54 | $263.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | None (both parts) | $120.23 | $120.23 | $158.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $15.85 | Professional | 26 · Professional part | $12.30 | $12.30 | $15.85 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $107.15 | $107.15 | $141.25 |
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 $54.95 Median $57.54 Typical High $83.18 | Professional | 52 · Reduced service | $54.95 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.91 Typical High $33.11 | Professional | 53 · Discontinued | $21.88 | $22.91 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $125.89 | Professional | FX · Film X-ray | $87.10 | $87.10 | $125.89 |
Where Florida sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 51st of 51
$141
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.