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 $134.90 Median $144.54 Typical High $323.59 | Facility | None | $134.90 | $144.54 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $134.90 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $34.67 | Professional | 26 · Professional part | $21.88 | $22.39 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $120.23 | $173.78 |
AvMed Setting Facility Modifier None Typical Low $165.96 Median $245.47 Typical High $416.87 | Facility | None | $165.96 | $245.47 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $141.25 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $141.25 | $169.82 | $194.98 |
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 $134.90 Median $190.55 Typical High $501.19 | Professional | None (both parts) | $134.90 | $190.55 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $91.20 | Professional | 26 · Professional part | $23.99 | $31.62 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $151.36 Typical High $436.52 | Professional | TC · Technical part | $112.20 | $151.36 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $112.20 Median $776.25 Typical High $776.25 | Facility | None | $112.20 | $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 $138.04 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $138.04 | $158.49 | $302.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $27.54 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $123.03 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $33.11 | $173.78 | $338.84 |
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 $177.83 Typical High $346.74 | Professional | None (both parts) | $54.95 | $177.83 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $31.62 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $125.89 | $154.88 | $302.00 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $147.91 | $147.91 | $199.53 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $33.88 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $123.03 | $165.96 |
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 $67.61 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $67.61 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.84 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $28.84 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | FX · Film X-ray | $107.15 | $107.15 | $147.91 |
Where Florida sits
The same service costs 4.6 times more in Alaska than in Texas. 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
$178
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.