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 $812.83 Typical High $1,621.81 | Facility | None | $169.82 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $169.82 | $239.88 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $54.95 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $151.36 Typical High $363.08 | Professional | TC · Technical part | $120.23 | $151.36 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $70.79 | $158.49 |
AvMed Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $549.54 | Facility | None | $120.23 | $181.97 | $549.54 |
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 $218.78 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $218.78 | $323.59 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $66.07 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $154.88 | $234.42 | $660.69 |
Florida Blue Setting Facility Modifier None Typical Low $436.52 Median $457.09 Typical High $831.76 | Facility | None | $436.52 | $457.09 | $831.76 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $229.09 | $389.05 | $446.68 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $89.13 | $120.23 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $162.18 | $275.42 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $87.10 | $218.78 | $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 $218.78 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $218.78 | $316.23 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $234.42 | $467.74 |
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 $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $162.18 | $162.18 | $162.18 |
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 $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 $269.15 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $269.15 |
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 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | Q6 · Substitute physician, paid per time | $234.42 | $234.42 | $234.42 |
Where Florida sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$245
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.