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 $123.03 Median $123.03 Typical High $323.59 | Facility | None | $123.03 | $123.03 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $131.83 Typical High $223.87 | Professional | None (both parts) | $123.03 | $131.83 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $15.85 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $114.82 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
AvMed Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $416.87 | Facility | None | $147.91 | $218.78 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $177.83 | Professional | None (both parts) | $125.89 | $158.49 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $602.56 Typical High $954.99 | Facility | None | $263.03 | $602.56 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $125.89 | $165.96 | $457.09 |
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 $109.65 Median $141.25 Typical High $398.11 | Professional | TC · Technical part | $109.65 | $141.25 | $398.11 |
Florida Blue Setting Facility Modifier None Typical Low $114.82 Median $776.25 Typical High $776.25 | Facility | None | $114.82 | $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 $120.23 Median $138.04 Typical High $263.03 | Professional | None (both parts) | $120.23 | $138.04 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $18.20 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $117.49 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $19.50 | $158.49 | $302.00 |
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 $158.49 Typical High $316.23 | Professional | None (both parts) | $54.95 | $158.49 | $316.23 |
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 $114.82 Median $144.54 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $144.54 | $281.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $138.04 | $138.04 | $181.97 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $17.78 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $120.23 | $120.23 | $158.49 |
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 $61.66 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $61.66 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.30 Typical High $38.02 | Professional | 53 · Discontinued | $24.55 | $26.30 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | FX · Film X-ray | $100.00 | $100.00 | $134.90 |
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
$162
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.