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 $223.87 Median $223.87 Typical High $323.59 | Facility | None | $223.87 | $223.87 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $223.87 | $257.04 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $44.67 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $186.21 | $218.78 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
AvMed Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $562.34 | Facility | None | $245.47 | $363.08 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $288.40 | Professional | None (both parts) | $208.93 | $263.03 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $630.96 Typical High $912.01 | Facility | None | $309.03 | $630.96 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $223.87 | $288.40 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $151.36 | Professional | 26 · Professional part | $38.90 | $52.48 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $239.88 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $158.49 Median $1,047.13 Typical High $1,047.13 | Facility | None | $158.49 | $1,047.13 | $1,047.13 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Facility | 26 · Professional part | $1,023.29 | $1,047.13 | $1,047.13 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Facility | TC · Technical part | $1,023.29 | $1,047.13 | $1,047.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $208.93 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $208.93 | $229.09 | $478.63 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $42.66 | $77.62 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $181.97 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $43.65 | $275.42 | $524.81 |
United Setting Facility Modifier None Typical Low $630.96 Median $676.08 Typical High $676.08 | Facility | None | $630.96 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $54.95 | $288.40 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $44.67 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $245.47 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $239.88 | $239.88 | $316.23 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $41.69 | $54.95 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $199.53 | $263.03 |
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 $112.20 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $112.20 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $44.67 | $47.86 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $245.47 | Professional | FX · Film X-ray | $177.83 | $177.83 | $245.47 |
Where Florida sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$282
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.