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 $213.80 Median $229.09 Typical High $323.59 | Facility | None | $213.80 | $229.09 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $213.80 | $229.09 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $38.02 | Professional | 26 · Professional part | $21.38 | $22.39 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $204.17 Typical High $338.84 | Professional | TC · Technical part | $190.55 | $204.17 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
AvMed Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $575.44 | Facility | None | $251.19 | $371.54 | $575.44 |
AvMed Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $213.80 | $269.15 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $977.24 Typical High $1,380.38 | Facility | None | $309.03 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $758.58 | Professional | None (both parts) | $213.80 | $281.84 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $87.10 | Professional | 26 · Professional part | $22.39 | $30.20 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $691.83 | Professional | TC · Technical part | $190.55 | $251.19 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $199.53 Median $1,047.13 Typical High $1,047.13 | Facility | None | $199.53 | $1,047.13 | $1,047.13 |
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 $199.53 Median $223.87 Typical High $457.09 | Professional | None (both parts) | $199.53 | $223.87 | $457.09 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $25.12 | $44.67 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $177.83 | $199.53 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $31.62 | $269.15 | $524.81 |
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 $275.42 Typical High $537.03 | Professional | None (both parts) | $54.95 | $275.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $30.20 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $257.04 | $501.19 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $229.09 | $229.09 | $302.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $23.99 | $31.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $269.15 | Professional | TC · Technical part | $204.17 | $204.17 | $269.15 |
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 $107.15 Median $114.82 Typical High $162.18 | Professional | 52 · Reduced service | $107.15 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $45.71 Typical High $64.57 | Professional | 53 · Discontinued | $42.66 | $45.71 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $234.42 | Professional | FX · Film X-ray | $169.82 | $169.82 | $234.42 |
Where Florida sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$275
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.