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 $70.79 Median $75.86 Typical High $323.59 | Facility | None | $70.79 | $75.86 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $70.79 | $75.86 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $11.75 | $12.02 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $64.57 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | 26 · Professional part | $23.44 | $23.44 | $23.44 |
AvMed Setting Facility Modifier None Typical Low $79.43 Median $117.49 Typical High $416.87 | Facility | None | $79.43 | $117.49 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $97.72 | Professional | None (both parts) | $67.61 | $85.11 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $467.74 Typical High $660.69 | Facility | None | $158.49 | $467.74 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $251.19 | Professional | None (both parts) | $75.86 | $93.33 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.22 Typical High $46.77 | Professional | 26 · Professional part | $12.30 | $16.22 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $223.87 | Professional | TC · Technical part | $64.57 | $75.86 | $223.87 |
Florida Blue Setting Facility Modifier None Typical Low $70.79 Median $776.25 Typical High $776.25 | Facility | None | $70.79 | $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 $67.61 Median $75.86 Typical High $144.54 | Professional | None (both parts) | $67.61 | $75.86 | $144.54 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $13.80 | $23.99 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $63.10 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $18.20 | $85.11 | $158.49 |
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 $87.10 Typical High $169.82 | Professional | None (both parts) | $54.95 | $87.10 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $13.49 | $16.22 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $61.66 | $75.86 | $151.36 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $75.86 | $75.86 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $17.78 | Professional | 26 · Professional part | $12.88 | $12.88 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $63.10 | $63.10 | $85.11 |
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 $35.48 Median $38.02 Typical High $54.95 | Professional | 52 · Reduced service | $35.48 | $38.02 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $21.88 | Professional | 53 · Discontinued | $14.45 | $15.14 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | FX · Film X-ray | $57.54 | $57.54 | $77.62 |
Where Florida sits
The same service costs 5.5 times more in Alabama 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
$87.10
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.