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 $112.20 Median $117.49 Typical High $323.59 | Facility | None | $112.20 | $117.49 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $112.20 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.79 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.79 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $102.33 | $147.91 |
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 $138.04 Typical High $154.88 | Professional | None (both parts) | $112.20 | $138.04 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $588.84 Typical High $831.76 | Facility | None | $229.09 | $588.84 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $398.11 | Professional | None (both parts) | $112.20 | $141.25 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $58.88 | Professional | 26 · Professional part | $14.79 | $19.50 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $120.23 | $346.74 |
Florida Blue Setting Facility Modifier None Typical Low $87.10 Median $776.25 Typical High $776.25 | Facility | None | $87.10 | $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 $107.15 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $107.15 | $114.82 | $234.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $30.20 | Professional | 26 · Professional part | $14.79 | $16.98 | $30.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $97.72 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $18.20 | $134.90 | $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 $138.04 Typical High $281.84 | Professional | None (both parts) | $54.95 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $38.90 | Professional | 26 · Professional part | $16.22 | $19.95 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $251.19 | Professional | TC · Technical part | $93.33 | $125.89 | $251.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $123.03 | $123.03 | $162.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $16.22 | $21.88 |
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 $58.88 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $22.39 | $23.44 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $117.49 | Professional | FX · Film X-ray | $89.13 | $89.13 | $117.49 |
Where Florida sits
The same service costs 4.7 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
$138
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.