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 $169.82 Median $776.25 Typical High $1,584.89 | Facility | None | $169.82 | $776.25 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $354.81 | Professional | None (both parts) | $169.82 | $173.78 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $53.70 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $275.42 | Professional | TC · Technical part | $117.49 | $120.23 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $123.03 | $123.03 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $42.66 | $57.54 |
AvMed Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $549.54 | Facility | None | $67.61 | $131.83 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $263.03 | Professional | None (both parts) | $81.28 | $104.71 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $446.68 Typical High $645.65 | Facility | None | $100.00 | $446.68 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $107.15 | $199.53 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $38.02 | $43.65 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $69.18 | $141.25 | $331.13 |
Florida Blue Setting Facility Modifier None Typical Low $223.87 Median $575.44 Typical High $1,230.27 | Facility | None | $223.87 | $575.44 | $1,230.27 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $125.89 Median $218.78 Typical High $302.00 | Professional | None (both parts) | $125.89 | $218.78 | $302.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $70.79 | $79.43 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $144.54 | $229.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $120.23 Typical High $269.15 | Professional | None (both parts) | $43.65 | $120.23 | $269.15 |
United Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $218.78 | Facility | None | $204.17 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $169.82 Typical High $338.84 | Professional | None (both parts) | $117.49 | $169.82 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $50.12 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $234.42 | Professional | TC · Technical part | $79.43 | $114.82 | $234.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $40.74 | $40.74 | $40.74 |
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 |
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 $79.43 Median $85.11 Typical High $138.04 | Professional | 52 · Reduced service | $79.43 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $31.62 | $33.88 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $144.54 Typical High $218.78 | Professional | CT · Older CT scanner | $141.25 | $144.54 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $138.04 Typical High $208.93 | Professional | FX · Film X-ray | $131.83 | $138.04 | $208.93 |
Where Florida sits
The same service costs 5.9 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
$158
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.