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 $208.93 Median $239.88 Typical High $630.96 | Facility | None | $208.93 | $239.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $562.34 | Professional | None (both parts) | $208.93 | $251.19 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $31.62 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $186.21 | $218.78 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $169.82 | $234.42 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $63.10 | Professional | 26 · Professional part | $20.89 | $28.84 | $63.10 |
AvMed Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $549.54 | Facility | None | $245.47 | $363.08 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $208.93 | $245.47 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $741.31 Typical High $831.76 | Facility | None | $263.03 | $741.31 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $741.31 | Professional | None (both parts) | $208.93 | $263.03 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $100.00 | Professional | 26 · Professional part | $26.30 | $35.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $223.87 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $162.18 Median $776.25 Typical High $776.25 | Facility | None | $162.18 | $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 $194.98 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $194.98 | $208.93 | $457.09 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $28.84 | $51.29 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $181.97 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $33.11 | $269.15 | $524.81 |
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 $263.03 Typical High $524.81 | Professional | None (both parts) | $54.95 | $263.03 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $34.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $173.78 | $245.47 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $223.87 | $223.87 | $295.12 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $27.54 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $199.53 | $199.53 | $257.04 |
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 $104.71 Median $112.20 Typical High $154.88 | Professional | 52 · Reduced service | $104.71 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $44.67 Typical High $61.66 | Professional | 53 · Discontinued | $41.69 | $44.67 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $229.09 | Professional | FX · Film X-ray | $169.82 | $169.82 | $229.09 |
Where Florida sits
The same service costs 3.5 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
$269
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.