How much rates vary
Facilitymedian $240 · 10th to 90th $85 to $1,148Professionalmedian $135 · 10th to 90th $72 to $275
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 $630.96 Typical High $1,513.56 | Facility | None | $169.82 | $630.96 | $1,513.56 |
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 $144.54 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $144.54 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $51.29 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $97.72 | $120.23 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $114.82 | Professional | None (both parts) | $85.11 | $100.00 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $32.36 | $47.86 |
AvMed Setting Facility Modifier None Typical Low $58.88 Median $109.65 Typical High $524.81 | Facility | None | $58.88 | $109.65 | $524.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $204.17 | Professional | None (both parts) | $72.44 | $93.33 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $245.47 Typical High $323.59 | Facility | None | $58.88 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $91.20 | $177.83 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $35.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $281.84 | Professional | TC · Technical part | $61.66 | $123.03 | $281.84 |
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 $104.71 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $104.71 | $181.97 | $257.04 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $54.95 | $67.61 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $123.03 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $35.48 | $114.82 | $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 $97.72 Median $141.25 Typical High $281.84 | Professional | None (both parts) | $97.72 | $141.25 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $42.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $97.72 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $69.18 | $69.18 | $69.18 |
4 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 $67.61 Median $85.11 Typical High $109.65 | Professional | 52 · Reduced service | $67.61 | $85.11 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $43.65 | Professional | 53 · Discontinued | $26.92 | $33.88 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $120.23 Median $144.54 Typical High $165.96 | Professional | CT · Older CT scanner | $120.23 | $144.54 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $138.04 Typical High $154.88 | Professional | FX · Film X-ray | $112.20 | $138.04 | $154.88 |
Where Florida sits
The same service costs 4.9 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
$138
AK $513UT $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.