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 $79.43 Median $85.11 Typical High $323.59 | Facility | None | $79.43 | $85.11 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $138.04 | Professional | None (both parts) | $79.43 | $85.11 | $138.04 |
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 $63.10 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $69.18 | $114.82 |
AvMed Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $416.87 | Facility | None | $100.00 | $147.91 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $85.11 | $107.15 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $467.74 Typical High $660.69 | Facility | None | $218.78 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $134.90 Typical High $354.81 | Professional | None (both parts) | $83.18 | $134.90 | $354.81 |
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 $67.61 Median $109.65 Typical High $302.00 | Professional | TC · Technical part | $67.61 | $109.65 | $302.00 |
Florida Blue Setting Facility Modifier None Typical Low $288.40 Median $776.25 Typical High $1,318.26 | Facility | None | $288.40 | $776.25 | $1,318.26 |
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 $87.10 Median $117.49 Typical High $331.13 | Professional | None (both parts) | $87.10 | $117.49 | $331.13 |
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 $69.18 Median $79.43 Typical High $295.12 | Professional | TC · Technical part | $69.18 | $79.43 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $28.18 | $109.65 | $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 $128.82 Typical High $263.03 | Professional | None (both parts) | $54.95 | $128.82 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $269.15 | Professional | TC · Technical part | $79.43 | $114.82 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $123.03 | Professional | None (both parts) | $97.72 | $97.72 | $123.03 |
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 $79.43 Median $79.43 Typical High $100.00 | Professional | TC · Technical part | $79.43 | $79.43 | $100.00 |
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 $39.81 Median $42.66 Typical High $69.18 | Professional | 52 · Reduced service | $39.81 | $42.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.98 Typical High $27.54 | Professional | 53 · Discontinued | $16.22 | $16.98 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $67.61 Typical High $100.00 | Professional | FX · Film X-ray | $64.57 | $67.61 | $100.00 |
Where Florida sits
The same service costs 5.2 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
$120
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.