How much rates vary
Facilitymedian $316 · 10th to 90th $95 to $1,175Professionalmedian $166 · 10th to 90th $79 to $302
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 $169.82 Median $758.58 Typical High $1,584.89 | Facility | None | $169.82 | $758.58 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $169.82 | $177.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $54.95 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $120.23 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $107.15 | $123.03 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $47.86 | $81.28 |
AvMed Setting Facility Modifier None Typical Low $66.07 Median $109.65 Typical High $549.54 | Facility | None | $66.07 | $109.65 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $81.28 | $104.71 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $316.23 Typical High $426.58 | Facility | None | $58.88 | $316.23 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $112.20 | $213.80 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $43.65 | $46.77 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $338.84 | Professional | TC · Technical part | $69.18 | $147.91 | $338.84 |
Florida Blue Setting Facility Modifier None Typical Low $186.21 Median $478.63 Typical High $1,023.29 | Facility | None | $186.21 | $478.63 | $1,023.29 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $165.96 | $263.03 | $323.59 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $47.86 | $72.44 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $190.55 | $234.42 |
Molina Setting Professional Modifier None (both parts) Typical Low $47.86 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $47.86 | $123.03 | $269.15 |
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 $141.25 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $141.25 | $194.98 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $53.70 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $138.04 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | TC · Technical part | $77.62 | $77.62 | $77.62 |
6 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 $83.18 Median $85.11 Typical High $117.49 | Professional | 52 · Reduced service | $83.18 | $85.11 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.88 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $33.88 | $47.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | FX · Film X-ray | $138.04 | $138.04 | $177.83 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $107.15 Typical High $114.82 | Professional | 59 · Distinct service | $107.15 | $107.15 | $114.82 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | Q6 · Substitute physician, paid per time | $100.00 | $100.00 | $100.00 |
Where Florida sits
The same service costs 6.2 times more in Alaska 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
$170
AK $646UT $105
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.