How much rates vary
Facilitymedian $316 · 10th to 90th $68 to $1,047Professionalmedian $110 · 10th to 90th $56 to $234
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 $165.96 Median $354.81 Typical High $1,445.44 | Facility | None | $165.96 | $354.81 | $1,445.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $302.00 | Facility | TC · Technical part | $120.23 | $120.23 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $120.23 | $169.82 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $51.29 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $208.93 | Professional | TC · Technical part | $74.13 | $120.23 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $58.88 | $75.86 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $26.92 | $32.36 | $40.74 |
AvMed Setting Facility Modifier None Typical Low $44.67 Median $89.13 Typical High $416.87 | Facility | None | $44.67 | $89.13 | $416.87 |
AvMed Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $177.83 | Professional | None (both parts) | $54.95 | $70.79 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $229.09 Typical High $323.59 | Facility | None | $58.88 | $229.09 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $75.86 | $147.91 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $30.90 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $93.33 Typical High $229.09 | Professional | TC · Technical part | $46.77 | $93.33 | $229.09 |
Florida Blue Setting Facility Modifier None Typical Low $186.21 Median $794.33 Typical High $933.25 | Facility | None | $186.21 | $794.33 | $933.25 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $85.11 Median $151.36 Typical High $239.88 | Professional | None (both parts) | $85.11 | $151.36 | $239.88 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $47.86 | $58.88 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $54.95 | $95.50 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $34.67 | $87.10 | $199.53 |
United Setting Facility Modifier None Typical Low $120.23 Median $131.83 Typical High $131.83 | Facility | None | $120.23 | $131.83 | $131.83 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $81.28 | $117.49 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $36.31 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $74.13 | $173.78 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $52.48 | $52.48 | $52.48 |
5 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 $56.23 Median $85.11 Typical High $93.33 | Professional | 52 · Reduced service | $56.23 | $85.11 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $22.39 | $33.88 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $97.72 Median $144.54 Typical High $154.88 | Professional | CT · Older CT scanner | $97.72 | $144.54 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $138.04 Typical High $144.54 | Professional | FX · Film X-ray | $93.33 | $138.04 | $144.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
Where Florida sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 48th of 51
$112
VT $1,585UT $77.62
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.