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 $131.83 Median $138.04 Typical High $323.59 | Facility | None | $131.83 | $138.04 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $131.83 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $29.51 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $109.65 | $154.88 |
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 $151.36 Typical High $173.78 | Professional | None (both parts) | $117.49 | $151.36 | $173.78 |
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 $173.78 Typical High $524.81 | Professional | None (both parts) | $131.83 | $173.78 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $117.49 | Professional | 26 · Professional part | $30.20 | $38.90 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $134.90 Typical High $398.11 | Professional | TC · Technical part | $102.33 | $134.90 | $398.11 |
Florida Blue Setting Facility Modifier None Typical Low $158.49 Median $776.25 Typical High $776.25 | Facility | None | $158.49 | $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 $125.89 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $125.89 | $154.88 | $275.42 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $33.88 | $60.26 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $97.72 | $117.49 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $35.48 | $151.36 | $302.00 |
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 $162.18 Typical High $331.13 | Professional | None (both parts) | $54.95 | $162.18 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $39.81 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $109.65 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $138.04 | $138.04 | $190.55 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $30.90 | $43.65 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $107.15 | $107.15 | $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 $66.07 Median $69.18 Typical High $100.00 | Professional | 52 · Reduced service | $66.07 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $27.54 Typical High $39.81 | Professional | 53 · Discontinued | $26.30 | $27.54 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $109.65 Typical High $141.25 | Professional | FX · Film X-ray | $104.71 | $109.65 | $141.25 |
Where Florida sits
The same service costs 5.0 times more in Alaska 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
$162
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.