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 $144.54 Median $154.88 Typical High $323.59 | Facility | None | $144.54 | $154.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $144.54 | $154.88 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $37.15 | $38.02 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $107.15 | $114.82 | $190.55 |
AvMed Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $416.87 | Facility | None | $151.36 | $223.87 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $128.82 | $162.18 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $691.83 Typical High $977.24 | Facility | None | $229.09 | $691.83 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $213.80 Typical High $575.44 | Professional | None (both parts) | $144.54 | $213.80 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $151.36 | Professional | 26 · Professional part | $38.90 | $52.48 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $436.52 | Professional | TC · Technical part | $107.15 | $154.88 | $436.52 |
Florida Blue Setting Facility Modifier None Typical Low $269.15 Median $776.25 Typical High $776.25 | Facility | None | $269.15 | $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 $144.54 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $144.54 | $181.97 | $346.74 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $43.65 | $75.86 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $134.90 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $134.90 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $42.66 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $42.66 | $173.78 | $338.84 |
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 $204.17 Typical High $407.38 | Professional | None (both parts) | $54.95 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $331.13 | Professional | TC · Technical part | $128.82 | $173.78 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $158.49 | $158.49 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $40.74 | $40.74 | $56.23 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $117.49 | $117.49 | $158.49 |
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 $72.44 Median $77.62 Typical High $114.82 | Professional | 52 · Reduced service | $72.44 | $77.62 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $45.71 | Professional | 53 · Discontinued | $28.84 | $30.90 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $120.23 Typical High $177.83 | Professional | FX · Film X-ray | $117.49 | $120.23 | $177.83 |
Where Florida sits
The same service costs 4.7 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.