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 $199.53 Median $208.93 Typical High $323.59 | Facility | None | $199.53 | $208.93 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $199.53 | $218.78 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $69.18 | Professional | 26 · Professional part | $25.12 | $28.84 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $194.98 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $48.98 | $63.10 |
AvMed Setting Facility Modifier None Typical Low $223.87 Median $331.13 Typical High $562.34 | Facility | None | $223.87 | $331.13 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $190.55 | $245.47 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $1,202.26 Typical High $1,698.24 | Facility | None | $309.03 | $1,202.26 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $691.83 | Professional | None (both parts) | $194.98 | $281.84 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $100.00 | Professional | 26 · Professional part | $26.30 | $35.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $630.96 | Professional | TC · Technical part | $169.82 | $239.88 | $630.96 |
Florida Blue Setting Facility Modifier None Typical Low $218.78 Median $1,047.13 Typical High $1,047.13 | Facility | None | $218.78 | $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 $181.97 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $181.97 | $208.93 | $436.52 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $28.84 | $54.95 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $177.83 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $33.11 | $239.88 | $457.09 |
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 $257.04 Typical High $489.78 | Professional | None (both parts) | $54.95 | $257.04 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $35.48 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $234.42 | $446.68 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $208.93 | $208.93 | $275.42 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $27.54 | $37.15 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $181.97 | $181.97 | $239.88 |
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 $100.00 Median $104.71 Typical High $147.91 | Professional | 52 · Reduced service | $100.00 | $104.71 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $39.81 | $41.69 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $218.78 | Professional | FX · Film X-ray | $158.49 | $165.96 | $218.78 |
Where Florida sits
The same service costs 3.7 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
$257
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.