How much rates vary
Facilitymedian $339 · 10th to 90th $115 to $1,349Professionalmedian $170 · 10th to 90th $68 to $355
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 $354.81 | Facility | TC · Technical part | $120.23 | $120.23 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $371.54 | Professional | None (both parts) | $169.82 | $186.21 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $54.95 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $125.89 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $54.95 | $67.61 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $45.71 | $60.26 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $45.71 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $45.71 | $87.10 |
AvMed Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $524.81 | Facility | None | $75.86 | $144.54 | $524.81 |
AvMed Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $91.20 | $117.49 | $269.15 |
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 $117.49 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $117.49 | $223.87 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $44.67 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $154.88 Typical High $380.19 | Professional | TC · Technical part | $79.43 | $154.88 | $380.19 |
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 $162.18 Median $288.40 Typical High $354.81 | Professional | None (both parts) | $162.18 | $288.40 | $354.81 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $69.18 | $83.18 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $213.80 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $43.65 | $138.04 | $323.59 |
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 $138.04 Median $199.53 Typical High $389.05 | Professional | None (both parts) | $138.04 | $199.53 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $275.42 | Professional | TC · Technical part | $100.00 | $138.04 | $275.42 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $87.10 | $87.10 | $87.10 |
6 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 $138.04 | Professional | 52 · Reduced service | $85.11 | $85.11 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $33.88 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $229.09 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $218.78 | Professional | FX · Film X-ray | $138.04 | $138.04 | $218.78 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 59 · Distinct service | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | Q6 · Substitute physician, paid per time | $104.71 | $104.71 | $104.71 |
Where Florida sits
The same service costs 5.9 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
$170
VT $741UT $126
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.