How much rates vary
Facilitymedian $468 · 10th to 90th $158 to $1,259Professionalmedian $240 · 10th to 90th $126 to $525
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 $602.56 Typical High $1,513.56 | Facility | None | $169.82 | $602.56 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $398.11 | Facility | TC · Technical part | $120.23 | $120.23 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $512.86 | Professional | None (both parts) | $169.82 | $275.42 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $79.43 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $190.55 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $177.83 | $218.78 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $69.18 | $81.28 |
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 $537.03 Typical High $758.58 | Facility | None | $100.00 | $537.03 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $831.76 | Professional | None (both parts) | $199.53 | $316.23 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $67.61 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $218.78 Typical High $602.56 | Professional | TC · Technical part | $138.04 | $218.78 | $602.56 |
Florida Blue Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $467.74 | Facility | None | $446.68 | $467.74 | $467.74 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $218.78 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $218.78 | $380.19 | $457.09 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $91.20 | $123.03 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $269.15 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $269.15 | $371.54 |
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 $213.80 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $213.80 | $302.00 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $151.36 | Professional | 26 · Professional part | $66.07 | $77.62 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $213.80 | $457.09 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
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 $181.97 | Professional | 52 · Reduced service | $85.11 | $85.11 | $181.97 |
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 $275.42 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $257.04 | Professional | FX · Film X-ray | $138.04 | $138.04 | $257.04 |
Where Florida sits
The same service costs 12.3 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
$240
VT $2,089UT $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.