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 $147.91 Median $154.88 Typical High $323.59 | Facility | None | $147.91 | $154.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $147.91 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $30.20 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $125.89 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
AvMed Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $562.34 | Facility | None | $158.49 | $234.42 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $134.90 | $173.78 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $1,071.52 | Facility | None | $309.03 | $501.19 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $147.91 | $213.80 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $120.23 | Professional | 26 · Professional part | $30.90 | $41.69 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $467.74 | Professional | TC · Technical part | $117.49 | $165.96 | $467.74 |
Florida Blue Setting Facility Modifier None Typical Low $173.78 Median $1,047.13 Typical High $1,047.13 | Facility | None | $173.78 | $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 $141.25 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $141.25 | $169.82 | $316.23 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $30.90 | $34.67 | $61.66 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $128.82 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $37.15 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $37.15 | $177.83 | $338.84 |
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 $186.21 Typical High $371.54 | Professional | None (both parts) | $54.95 | $186.21 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $41.69 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $162.18 | $309.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $162.18 | $162.18 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $33.88 | $33.88 | $44.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $128.82 | $169.82 |
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 $74.13 Median $77.62 Typical High $112.20 | Professional | 52 · Reduced service | $74.13 | $77.62 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $30.90 Typical High $44.67 | Professional | 53 · Discontinued | $29.51 | $30.90 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | FX · Film X-ray | $117.49 | $125.89 | $162.18 |
Where Florida sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 51st of 51
$186
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.