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 $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 $144.54 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $144.54 | $169.82 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $47.86 | $51.29 | $83.18 |
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 $89.13 Median $95.50 Typical High $117.49 | Professional | None (both parts) | $89.13 | $95.50 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $37.15 | $58.88 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $109.65 Typical High $501.19 | Facility | None | $56.23 | $109.65 | $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 $316.23 Typical High $331.13 | Facility | None | $58.88 | $316.23 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $91.20 | $190.55 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $95.50 | Professional | 26 · Professional part | $33.11 | $37.15 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $131.83 Typical High $302.00 | Professional | TC · Technical part | $57.54 | $131.83 | $302.00 |
Florida Blue Setting Facility Modifier None Typical Low $229.09 Median $602.56 Typical High $1,258.93 | Facility | None | $229.09 | $602.56 | $1,258.93 |
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 $37.15 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $61.66 | $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 $39.81 Median $104.71 Typical High $263.03 | Professional | None (both parts) | $39.81 | $104.71 | $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 $107.15 Median $154.88 Typical High $316.23 | Professional | None (both parts) | $107.15 | $154.88 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $44.67 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $77.62 | $107.15 | $223.87 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
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 |
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 $67.61 Median $85.11 Typical High $114.82 | Professional | 52 · Reduced service | $67.61 | $85.11 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $46.77 | Professional | 53 · Discontinued | $26.92 | $33.88 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $120.23 Median $144.54 Typical High $186.21 | Professional | CT · Older CT scanner | $120.23 | $144.54 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $138.04 Typical High $173.78 | Professional | FX · Film X-ray | $112.20 | $138.04 | $173.78 |
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· 48th of 51
$141
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.