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 $478.63 | Facility | None | $218.78 | $234.42 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $575.44 | Professional | None (both parts) | $218.78 | $257.04 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $38.90 | $87.10 |
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 $218.78 Median $245.47 Typical High $660.69 | Professional | None (both parts) | $218.78 | $245.47 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $37.15 | $69.18 |
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 $257.04 Typical High $281.84 | Professional | None (both parts) | $208.93 | $257.04 | $281.84 |
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 $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 $33.11 Median $45.71 Typical High $131.83 | Professional | 26 · Professional part | $33.11 | $45.71 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $676.08 | Professional | TC · Technical part | $186.21 | $245.47 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $186.21 Median $776.25 Typical High $851.14 | Facility | None | $186.21 | $776.25 | $851.14 |
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 $204.17 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $204.17 | $234.42 | $467.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $37.15 | $66.07 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $173.78 | $194.98 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $37.15 | $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 $38.02 Median $44.67 Typical High $87.10 | Professional | 26 · Professional part | $38.02 | $44.67 | $87.10 |
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 $234.42 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $234.42 | $234.42 | $309.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $35.48 | $47.86 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | TC · Technical part | $199.53 | $199.53 | $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 $173.78 Median $173.78 Typical High $239.88 | Professional | FX · Film X-ray | $173.78 | $173.78 | $239.88 |
Where Florida sits
The same service costs 4.7 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
$282
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.