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 $87.10 Median $91.20 Typical High $323.59 | Facility | None | $87.10 | $91.20 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | None (both parts) | $87.10 | $91.20 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $53.70 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $34.67 | $36.31 | $54.95 |
AvMed Setting Facility Modifier None Typical Low $51.29 Median $75.86 Typical High $239.88 | Facility | None | $51.29 | $75.86 | $239.88 |
AvMed Setting Professional Modifier None (both parts) Typical Low $43.65 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $43.65 | $54.95 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $645.65 Typical High $912.01 | Facility | None | $54.95 | $645.65 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $309.03 | Professional | None (both parts) | $91.20 | $114.82 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $67.61 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $134.90 | Professional | TC · Technical part | $35.48 | $43.65 | $134.90 |
Florida Blue Setting Facility Modifier None Typical Low $102.33 Median $446.68 Typical High $478.63 | Facility | None | $102.33 | $446.68 | $478.63 |
Florida Blue Setting Facility Modifier 26 · Professional part Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | 26 · Professional part | $436.52 | $446.68 | $446.68 |
Florida Blue Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $436.52 | $446.68 | $446.68 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $89.13 Median $141.25 Typical High $218.78 | Professional | None (both parts) | $89.13 | $141.25 | $218.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $87.10 | $117.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $35.48 | $58.88 | $107.15 |
Molina 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 Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $295.12 | Facility | None | $269.15 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $131.83 Typical High $234.42 | Professional | None (both parts) | $54.95 | $131.83 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $83.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $53.70 | $102.33 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $102.33 | $102.33 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $60.26 | $77.62 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $41.69 | $51.29 |
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 $43.65 Median $45.71 Typical High $67.61 | Professional | 52 · Reduced service | $43.65 | $45.71 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.20 Typical High $27.54 | Professional | 53 · Discontinued | $17.38 | $18.20 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $72.44 Typical High $95.50 | Professional | FX · Film X-ray | $69.18 | $72.44 | $95.50 |
Where Florida sits
The same service costs 5.6 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· 50th of 51
$102
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.