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 $954.99 Median $4,073.80 Typical High $6,456.54 | Facility | None | $954.99 | $4,073.80 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $1,584.89 | Professional | None (both parts) | $954.99 | $954.99 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $117.49 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $831.76 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
AvMed Setting Facility Modifier None Typical Low $70.79 Median $1,348.96 Typical High $3,715.35 | Facility | None | $70.79 | $1,348.96 | $3,715.35 |
AvMed Setting Professional Modifier None (both parts) Typical Low $57.54 Median $1,096.48 Typical High $1,380.38 | Professional | None (both parts) | $57.54 | $1,096.48 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $2,398.83 Typical High $3,388.44 | Facility | None | $724.44 | $2,398.83 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $1,318.26 | Professional | None (both parts) | $288.40 | $467.74 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $194.98 | Professional | 26 · Professional part | $50.12 | $63.10 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $363.08 Typical High $1,023.29 | Professional | TC · Technical part | $229.09 | $363.08 | $1,023.29 |
Florida Blue Setting Facility Modifier None Typical Low $2,137.96 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,137.96 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | 26 · Professional part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $2,454.71 Median $2,511.89 Typical High $2,511.89 | Facility | TC · Technical part | $2,454.71 | $2,511.89 | $2,511.89 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,348.96 Typical High $2,089.30 | Professional | None (both parts) | $1,000.00 | $1,348.96 | $2,089.30 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $56.23 | $112.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,258.93 Typical High $2,089.30 | Professional | TC · Technical part | $933.25 | $1,258.93 | $2,089.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $87.10 Typical High $1,258.93 | Professional | None (both parts) | $46.77 | $87.10 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,513.56 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $1,148.15 Typical High $2,137.96 | Professional | None (both parts) | $54.95 | $1,148.15 | $2,137.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $72.44 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,258.93 Typical High $2,041.74 | Professional | TC · Technical part | $891.25 | $1,258.93 | $2,041.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,288.25 Typical High $1,348.96 | Professional | None (both parts) | $1,258.93 | $1,288.25 | $1,348.96 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $45.71 | $72.44 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $229.09 | $1,258.93 |
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 $478.63 Median $478.63 Typical High $645.65 | Professional | 52 · Reduced service | $478.63 | $478.63 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | 53 · Discontinued | $190.55 | $190.55 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Professional | FX · Film X-ray | $758.58 | $758.58 | $1,000.00 |
Where Florida sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 43rd of 51
$1,047
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.