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 $117.49 Median $123.03 Typical High $323.59 | Facility | None | $117.49 | $123.03 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $123.03 Typical High $186.21 | Professional | None (both parts) | $117.49 | $123.03 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $14.45 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $109.65 | $165.96 |
AvMed Setting Facility Modifier None Typical Low $141.25 Median $208.93 Typical High $416.87 | Facility | None | $141.25 | $208.93 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $120.23 | $147.91 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $407.38 Typical High $691.83 | Facility | None | $229.09 | $407.38 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $426.58 | Professional | None (both parts) | $114.82 | $158.49 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.50 Typical High $57.54 | Professional | 26 · Professional part | $14.45 | $19.50 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $134.90 Typical High $371.54 | Professional | TC · Technical part | $100.00 | $134.90 | $371.54 |
Florida Blue Setting Facility Modifier None Typical Low $112.20 Median $776.25 Typical High $776.25 | Facility | None | $112.20 | $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 $112.20 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $112.20 | $128.82 | $251.19 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $16.22 | $30.20 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $112.20 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $21.38 | $151.36 | $288.40 |
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 $147.91 Typical High $288.40 | Professional | None (both parts) | $54.95 | $147.91 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $37.15 | Professional | 26 · Professional part | $16.22 | $19.50 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $112.20 | $138.04 | $269.15 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $169.82 | Professional | None (both parts) | $125.89 | $125.89 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $15.14 | $15.14 | $20.42 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $109.65 | $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 $57.54 Median $61.66 Typical High $89.13 | Professional | 52 · Reduced service | $57.54 | $61.66 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $35.48 | Professional | 53 · Discontinued | $23.44 | $24.55 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | FX · Film X-ray | $93.33 | $93.33 | $125.89 |
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· 49th of 51
$155
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.