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 $794.33 Typical High $1,621.81 | Facility | None | $169.82 | $794.33 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $169.82 | $229.09 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $51.29 | $61.66 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $323.59 | Professional | TC · Technical part | $120.23 | $151.36 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $85.11 | $169.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $42.66 | $58.88 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | TC · Technical part | $97.72 | $97.72 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $97.72 Median $181.97 Typical High $549.54 | Facility | None | $97.72 | $181.97 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $323.59 | Professional | None (both parts) | $117.49 | $151.36 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $512.86 Typical High $724.44 | Facility | None | $100.00 | $512.86 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $660.69 | Professional | None (both parts) | $158.49 | $269.15 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $141.25 | Professional | 26 · Professional part | $53.70 | $58.88 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $190.55 Typical High $457.09 | Professional | TC · Technical part | $102.33 | $190.55 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $275.42 Median $707.95 Typical High $1,513.56 | Facility | None | $275.42 | $707.95 | $1,513.56 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $204.17 | $338.84 | $398.11 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $81.28 | $97.72 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $251.19 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $87.10 | $186.21 | $436.52 |
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 $173.78 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $173.78 | $239.88 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $67.61 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $165.96 | $331.13 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $57.54 | $57.54 | $57.54 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
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 $85.11 Median $85.11 Typical High $151.36 | Professional | 52 · Reduced service | $85.11 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $60.26 | Professional | 53 · Discontinued | $33.88 | $33.88 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $239.88 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $223.87 | Professional | FX · Film X-ray | $138.04 | $138.04 | $223.87 |
Where Florida sits
The same service costs 6.3 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· 49th of 51
$204
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.