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 $251.19 Median $933.25 Typical High $2,089.30 | Facility | None | $251.19 | $933.25 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $190.55 Typical High $398.11 | Professional | None (both parts) | $169.82 | $190.55 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $51.29 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $120.23 | $120.23 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $141.25 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $44.67 | $46.77 | $64.57 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $181.97 Typical High $549.54 | Facility | None | $93.33 | $181.97 | $549.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $331.13 | Professional | None (both parts) | $112.20 | $144.54 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $524.81 Typical High $724.44 | Facility | None | $100.00 | $524.81 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $141.25 | $269.15 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $46.77 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $467.74 | Professional | TC · Technical part | $97.72 | $194.98 | $467.74 |
Florida Blue Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $1,905.46 | Facility | None | $346.74 | $891.25 | $1,905.46 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $190.55 | $338.84 | $426.58 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $70.79 | $85.11 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $263.03 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $46.77 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $46.77 | $165.96 | $398.11 |
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 $162.18 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $162.18 | $234.42 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $53.70 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $169.82 | $346.74 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $45.71 | $45.71 | $45.71 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $107.15 | $107.15 | $107.15 |
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 5.2 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
$191
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.