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 $154.88 Median $162.18 Typical High $323.59 | Facility | None | $154.88 | $162.18 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $154.88 | $162.18 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $22.39 Typical High $33.88 | Professional | 26 · Professional part | $21.88 | $22.39 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $141.25 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
AvMed Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $416.87 | Facility | None | $177.83 | $263.03 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $151.36 | $190.55 | $223.87 |
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 $154.88 Median $213.80 Typical High $549.54 | Professional | None (both parts) | $154.88 | $213.80 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $87.10 | Professional | 26 · Professional part | $22.91 | $30.20 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $478.63 | Professional | TC · Technical part | $131.83 | $181.97 | $478.63 |
Florida Blue Setting Facility Modifier None Typical Low $165.96 Median $776.25 Typical High $794.33 | Facility | None | $165.96 | $776.25 | $794.33 |
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 $147.91 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $147.91 | $165.96 | $323.59 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $22.39 | $25.12 | $43.65 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $141.25 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $31.62 | $204.17 | $398.11 |
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 $194.98 Typical High $389.05 | Professional | None (both parts) | $54.95 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $151.36 | $177.83 | $338.84 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $154.88 | $154.88 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $32.36 | Professional | 26 · Professional part | $22.39 | $22.39 | $32.36 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $131.83 | $131.83 | $190.55 |
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 $77.62 Median $81.28 Typical High $117.49 | Professional | 52 · Reduced service | $77.62 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $46.77 | Professional | 53 · Discontinued | $30.90 | $32.36 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $128.82 Typical High $165.96 | Professional | FX · Film X-ray | $123.03 | $128.82 | $165.96 |
Where Florida sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 51st of 51
$204
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.