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 $154.88 Median $162.18 Typical High $323.59 | Facility | None | $154.88 | $162.18 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $154.88 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $46.77 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $114.82 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $114.82 | $165.96 |
AvMed Setting Facility Modifier None Typical Low $144.54 Median $213.80 Typical High $562.34 | Facility | None | $144.54 | $213.80 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $123.03 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,096.48 Typical High $2,951.21 | Facility | None | $309.03 | $1,096.48 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $616.60 | Professional | None (both parts) | $151.36 | $239.88 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $64.57 Typical High $186.21 | Professional | 26 · Professional part | $47.86 | $64.57 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $104.71 | $154.88 | $446.68 |
Florida Blue Setting Facility Modifier None Typical Low $309.03 Median $1,047.13 Typical High $1,412.54 | Facility | None | $309.03 | $1,047.13 | $1,412.54 |
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 $147.91 Median $194.98 Typical High $398.11 | Professional | None (both parts) | $147.91 | $194.98 | $398.11 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $53.70 | $93.33 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $102.33 | $138.04 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $60.26 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $60.26 | $169.82 | $316.23 |
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 $218.78 Typical High $446.68 | Professional | None (both parts) | $54.95 | $218.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $64.57 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $131.83 | $173.78 | $354.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $169.82 | $169.82 | $223.87 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $69.18 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $117.49 | $117.49 | $154.88 |
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 $77.62 Median $81.28 Typical High $120.23 | Professional | 52 · Reduced service | $77.62 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $47.86 | Professional | 53 · Discontinued | $30.90 | $32.36 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $128.82 Typical High $186.21 | Professional | FX · Film X-ray | $123.03 | $128.82 | $186.21 |
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
$191
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.