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 $128.82 Median $138.04 Typical High $323.59 | Facility | None | $128.82 | $138.04 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $138.04 Typical High $186.21 | Professional | None (both parts) | $128.82 | $138.04 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $16.60 | $16.98 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $114.82 | $120.23 | $165.96 |
AvMed Setting Facility Modifier None Typical Low $138.04 Median $204.17 Typical High $416.87 | Facility | None | $138.04 | $204.17 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $117.49 | $144.54 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $575.44 Typical High $812.83 | Facility | None | $223.87 | $575.44 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $457.09 | Professional | None (both parts) | $131.83 | $151.36 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $64.57 | Professional | 26 · Professional part | $17.38 | $22.39 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $131.83 | $407.38 |
Florida Blue Setting Facility Modifier None Typical Low $74.13 Median $776.25 Typical High $776.25 | Facility | None | $74.13 | $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 $102.33 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $102.33 | $120.23 | $245.47 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $32.36 | Professional | 26 · Professional part | $16.22 | $18.20 | $32.36 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $102.33 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.05 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $19.05 | $134.90 | $245.47 |
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 $154.88 Typical High $316.23 | Professional | None (both parts) | $54.95 | $154.88 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $17.78 | $22.39 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $141.25 | $288.40 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $125.89 | $125.89 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $16.98 | $16.98 | $23.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $109.65 | $147.91 |
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 $64.57 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $64.57 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $27.54 Typical High $38.02 | Professional | 53 · Discontinued | $25.70 | $27.54 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | FX · Film X-ray | $104.71 | $104.71 | $141.25 |
Where Florida sits
The same service costs 5.5 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
$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.