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 $114.82 Median $120.23 Typical High $323.59 | Facility | None | $114.82 | $120.23 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $114.82 | $120.23 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $25.12 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $95.50 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $95.50 | $138.04 |
AvMed Setting Facility Modifier None Typical Low $125.89 Median $186.21 Typical High $562.34 | Facility | None | $125.89 | $186.21 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $107.15 | $134.90 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $575.44 Typical High $812.83 | Facility | None | $275.42 | $575.44 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $407.38 | Professional | None (both parts) | $107.15 | $162.18 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $89.13 | Professional | 26 · Professional part | $26.92 | $33.88 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $338.84 | Professional | TC · Technical part | $81.28 | $125.89 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $104.71 Median $1,047.13 Typical High $1,047.13 | Facility | None | $104.71 | $1,047.13 | $1,047.13 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Facility | 26 · Professional part | $1,023.29 | $1,047.13 | $1,047.13 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $1,023.29 Median $1,047.13 Typical High $1,047.13 | Facility | TC · Technical part | $1,023.29 | $1,047.13 | $1,047.13 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $114.82 | $128.82 | $234.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $28.18 | $48.98 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $100.00 | $186.21 |
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 $630.96 Median $676.08 Typical High $676.08 | Facility | None | $630.96 | $676.08 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $147.91 Typical High $275.42 | Professional | None (both parts) | $54.95 | $147.91 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $33.88 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $223.87 | Professional | TC · Technical part | $104.71 | $123.03 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | None (both parts) | $128.82 | $128.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | 26 · Professional part | $27.54 | $27.54 | $36.31 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $102.33 | $102.33 | $131.83 |
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 $57.54 Median $60.26 Typical High $83.18 | Professional | 52 · Reduced service | $57.54 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $23.99 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $23.99 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $120.23 | Professional | FX · Film X-ray | $91.20 | $91.20 | $120.23 |
Where Florida sits
The same service costs 4.8 times more in Alabama than in Texas. 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
$145
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.