How much rates vary
Facilitymedian $302 · 10th to 90th $85 to $1,230Professionalmedian $138 · 10th to 90th $65 to $288
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 $501.19 Typical High $1,513.56 | Facility | None | $169.82 | $501.19 | $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 $147.91 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $147.91 | $169.82 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $51.29 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $120.23 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $112.20 | Professional | None (both parts) | $83.18 | $104.71 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $39.81 | $53.70 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | TC · Technical part | $63.10 | $63.10 | $77.62 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $501.19 | Facility | None | $56.23 | $107.15 | $501.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $204.17 | Professional | None (both parts) | $67.61 | $87.10 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $269.15 Typical High $323.59 | Facility | None | $58.88 | $269.15 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $190.55 Typical High $416.87 | Professional | None (both parts) | $95.50 | $190.55 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $102.33 | Professional | 26 · Professional part | $36.31 | $38.90 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $125.89 Typical High $295.12 | Professional | TC · Technical part | $57.54 | $125.89 | $295.12 |
Florida Blue Setting Facility Modifier None Typical Low $229.09 Median $812.83 Typical High $1,174.90 | Facility | None | $229.09 | $812.83 | $1,174.90 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $128.82 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $128.82 | $234.42 | $302.00 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $38.02 | $63.10 | $70.79 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $165.96 | $239.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $107.15 Typical High $263.03 | Professional | None (both parts) | $41.69 | $107.15 | $263.03 |
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 $109.65 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $109.65 | $158.49 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $48.98 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $102.33 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
5 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 $69.18 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $69.18 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $27.54 | $33.88 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $144.54 Typical High $186.21 | Professional | CT · Older CT scanner | $123.03 | $144.54 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $138.04 Typical High $173.78 | Professional | FX · Film X-ray | $117.49 | $138.04 | $173.78 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | Q6 · Substitute physician, paid per time | $83.18 | $83.18 | $83.18 |
Where Florida sits
The same service costs 6.2 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· 48th of 51
$138
VT $617UT $100
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.