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 $131.83 Median $141.25 Typical High $323.59 | Facility | None | $131.83 | $141.25 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $131.83 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $16.22 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $125.89 | $181.97 |
AvMed Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $562.34 | Facility | None | $162.18 | $239.88 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $138.04 | $169.82 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $676.08 Typical High $954.99 | Facility | None | $309.03 | $676.08 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $478.63 | Professional | None (both parts) | $131.83 | $173.78 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $63.10 | Professional | 26 · Professional part | $16.22 | $21.38 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $151.36 | $426.58 |
Florida Blue Setting Facility Modifier None Typical Low $112.20 Median $1,047.13 Typical High $1,047.13 | Facility | None | $112.20 | $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 $128.82 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $128.82 | $144.54 | $269.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $30.90 | Professional | 26 · Professional part | $16.22 | $18.62 | $30.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $123.03 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $28.18 | $173.78 | $338.84 |
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 $162.18 Typical High $331.13 | Professional | None (both parts) | $54.95 | $162.18 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $18.20 | $21.38 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $151.36 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $125.89 | $125.89 | $194.98 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $15.14 | $23.99 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $112.20 | $173.78 |
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 $66.07 Median $70.79 Typical High $100.00 | Professional | 52 · Reduced service | $66.07 | $70.79 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $26.30 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $144.54 | Professional | FX · Film X-ray | $107.15 | $107.15 | $144.54 |
Where Florida sits
The same service costs 4.6 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
$174
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.