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 $117.49 Median $125.89 Typical High $323.59 | Facility | None | $117.49 | $125.89 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $117.49 | $125.89 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $25.12 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $93.33 | $100.00 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $416.87 | Facility | None | $131.83 | $190.55 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $112.20 | $138.04 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $691.83 Typical High $977.24 | Facility | None | $229.09 | $691.83 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $120.23 | $154.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $97.72 | Professional | 26 · Professional part | $25.70 | $33.88 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $123.03 | $346.74 |
Florida Blue Setting Facility Modifier None Typical Low $89.13 Median $776.25 Typical High $776.25 | Facility | None | $89.13 | $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 $114.82 Median $131.83 Typical High $245.47 | Professional | None (both parts) | $114.82 | $131.83 | $245.47 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $28.18 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $91.20 | $97.72 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $33.11 | $144.54 | $275.42 |
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 $151.36 Typical High $295.12 | Professional | None (both parts) | $54.95 | $151.36 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $28.84 | $33.88 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $107.15 | $125.89 | $245.47 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $125.89 | $125.89 | $173.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $25.70 | $25.70 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $100.00 | $138.04 |
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 $58.88 Median $63.10 Typical High $91.20 | Professional | 52 · Reduced service | $58.88 | $63.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $25.12 Typical High $36.31 | Professional | 53 · Discontinued | $23.99 | $25.12 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | FX · Film X-ray | $95.50 | $95.50 | $131.83 |
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
$148
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.