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 $812.83 Typical High $1,621.81 | Facility | None | $251.19 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $169.82 | $229.09 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $51.29 | $51.29 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $331.13 | Professional | TC · Technical part | $120.23 | $162.18 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $154.88 | $181.97 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 26 · Professional part | $45.71 | $45.71 | $47.86 |
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 $331.13 | Professional | None (both parts) | $144.54 | $181.97 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $512.86 Typical High $724.44 | Facility | None | $100.00 | $512.86 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $275.42 Typical High $724.44 | Professional | None (both parts) | $177.83 | $275.42 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $44.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $208.93 Typical High $588.84 | Professional | TC · Technical part | $138.04 | $208.93 | $588.84 |
Florida Blue Setting Facility Modifier None Typical Low $331.13 Median $851.14 Typical High $1,819.70 | Facility | None | $331.13 | $851.14 | $1,819.70 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $190.55 | $331.13 | $426.58 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $67.61 | $81.28 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $147.91 | $257.04 | $346.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $43.65 | $204.17 | $467.74 |
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 $186.21 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $186.21 | $263.03 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $51.29 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $151.36 | $213.80 | $407.38 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | TC · Technical part | $144.54 | $144.54 | $144.54 |
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 $154.88 | Professional | 52 · Reduced service | $85.11 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $63.10 | Professional | 53 · Discontinued | $33.88 | $33.88 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $234.42 | Professional | FX · Film X-ray | $138.04 | $138.04 | $234.42 |
Where Florida sits
The same service costs 5.0 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
$219
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.