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 $66.07 Median $70.79 Typical High $323.59 | Facility | None | $66.07 | $70.79 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $66.07 | $70.79 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $12.88 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $53.70 | $57.54 | $95.50 |
AvMed Setting Facility Modifier None Typical Low $81.28 Median $120.23 Typical High $416.87 | Facility | None | $81.28 | $120.23 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $120.23 | Professional | None (both parts) | $69.18 | $87.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $588.84 Typical High $831.76 | Facility | None | $223.87 | $588.84 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $100.00 Typical High $263.03 | Professional | None (both parts) | $69.18 | $100.00 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $51.29 | Professional | 26 · Professional part | $13.18 | $17.78 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $77.62 Typical High $213.80 | Professional | TC · Technical part | $56.23 | $77.62 | $213.80 |
Florida Blue Setting Facility Modifier None Typical Low $138.04 Median $776.25 Typical High $776.25 | Facility | None | $138.04 | $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 $70.79 Median $81.28 Typical High $169.82 | Professional | None (both parts) | $70.79 | $81.28 | $169.82 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $14.79 | $27.54 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $144.54 | Professional | TC · Technical part | $57.54 | $66.07 | $144.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $87.10 Typical High $181.97 | Professional | None (both parts) | $13.80 | $87.10 | $181.97 |
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 $93.33 Typical High $190.55 | Professional | None (both parts) | $54.95 | $93.33 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $36.31 | Professional | 26 · Professional part | $15.49 | $18.20 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $87.10 | $162.18 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $70.79 | $70.79 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $12.59 | $12.59 | $18.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $57.54 | $83.18 |
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 $33.11 Median $35.48 Typical High $54.95 | Professional | 52 · Reduced service | $33.11 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $21.88 | Professional | 53 · Discontinued | $13.18 | $14.13 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $56.23 Typical High $83.18 | Professional | FX · Film X-ray | $53.70 | $56.23 | $83.18 |
Where Florida sits
The same service costs 5.0 times more in Alabama than in New York. 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
$95.50
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.