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 $177.83 Median $186.21 Typical High $323.59 | Facility | None | $177.83 | $186.21 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $177.83 | $186.21 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $26.92 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $162.18 Typical High $223.87 | Professional | TC · Technical part | $151.36 | $162.18 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
AvMed Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Facility | None | $194.98 | $288.40 | $446.68 |
AvMed Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $165.96 | $194.98 | $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 $173.78 Median $218.78 Typical High $616.60 | Professional | None (both parts) | $173.78 | $218.78 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $107.15 | Professional | 26 · Professional part | $27.54 | $36.31 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $524.81 | Professional | TC · Technical part | $147.91 | $177.83 | $524.81 |
Florida Blue Setting Facility Modifier None Typical Low $144.54 Median $776.25 Typical High $776.25 | Facility | None | $144.54 | $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 $165.96 Median $186.21 Typical High $309.03 | Professional | None (both parts) | $165.96 | $186.21 | $309.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $30.90 | $54.95 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $147.91 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $147.91 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $33.11 | $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 $218.78 Typical High $436.52 | Professional | None (both parts) | $54.95 | $218.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $37.15 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $199.53 | $389.05 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $245.47 | Professional | None (both parts) | $165.96 | $165.96 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $25.70 | $39.81 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $138.04 | $138.04 | $208.93 |
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 $89.13 Median $93.33 Typical High $128.82 | Professional | 52 · Reduced service | $89.13 | $93.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $37.15 Typical High $51.29 | Professional | 53 · Discontinued | $35.48 | $37.15 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | FX · Film X-ray | $141.25 | $141.25 | $190.55 |
Where Florida sits
The same service costs 5.0 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
$209
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.