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 $218.78 Median $234.42 Typical High $323.59 | Facility | None | $218.78 | $234.42 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $218.78 | $257.04 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $35.48 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $218.78 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $40.74 | $67.61 |
AvMed Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $562.34 | Facility | None | $251.19 | $371.54 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $213.80 | $257.04 | $281.84 |
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 $218.78 Median $288.40 Typical High $776.25 | Professional | None (both parts) | $218.78 | $288.40 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $128.82 | Professional | 26 · Professional part | $32.36 | $43.65 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $186.21 | $245.47 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $190.55 Median $776.25 Typical High $870.96 | Facility | None | $190.55 | $776.25 | $870.96 |
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 $208.93 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $208.93 | $234.42 | $467.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $36.31 | $64.57 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $194.98 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $35.48 | $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 $281.84 Typical High $549.54 | Professional | None (both parts) | $54.95 | $281.84 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $43.65 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $489.78 | Professional | TC · Technical part | $199.53 | $251.19 | $489.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $309.03 | Professional | None (both parts) | $213.80 | $213.80 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $31.62 | $46.77 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $181.97 | $263.03 |
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 $109.65 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $109.65 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $66.07 | Professional | 53 · Discontinued | $43.65 | $46.77 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | FX · Film X-ray | $177.83 | $177.83 | $239.88 |
Where Florida sits
The same service costs 3.8 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
$275
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.