How much rates vary
Facilitymedian $417 · 10th to 90th $158 to $1,259Professionalmedian $234 · 10th to 90th $120 to $537
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 $645.65 Typical High $1,513.56 | Facility | None | $169.82 | $645.65 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $169.82 | $269.15 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $75.86 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $120.23 | $181.97 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $251.19 | Professional | None (both parts) | $169.82 | $190.55 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $64.57 | $97.72 |
AvMed Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $524.81 | Facility | None | $120.23 | $181.97 | $524.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $354.81 | Professional | None (both parts) | $144.54 | $181.97 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $524.81 Typical High $758.58 | Facility | None | $100.00 | $524.81 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $831.76 | Professional | None (both parts) | $194.98 | $323.59 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $64.57 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $138.04 | $239.88 | $645.65 |
Florida Blue Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $416.87 | Facility | None | $398.11 | $416.87 | $416.87 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $218.78 | $371.54 | $436.52 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $97.72 | $117.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $263.03 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $89.13 | $213.80 | $501.19 |
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 $208.93 Median $302.00 Typical High $602.56 | Professional | None (both parts) | $208.93 | $302.00 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $74.13 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $213.80 | $467.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
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 $177.83 | Professional | 52 · Reduced service | $85.11 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $72.44 | Professional | 53 · Discontinued | $33.88 | $33.88 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $269.15 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $251.19 | Professional | FX · Film X-ray | $138.04 | $138.04 | $251.19 |
Where Florida sits
The same service costs 7.6 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· 49th of 51
$234
VT $1,288UT $170
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.