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 $537.03 Typical High $1,513.56 | Facility | None | $169.82 | $537.03 | $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 $147.91 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $147.91 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $51.29 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $120.23 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $70.79 | $95.50 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $37.15 | $56.23 |
AvMed Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $199.53 | Facility | None | $56.23 | $107.15 | $199.53 |
AvMed Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $199.53 | Professional | None (both parts) | $67.61 | $87.10 | $199.53 |
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 $186.21 Typical High $398.11 | Professional | None (both parts) | $91.20 | $186.21 | $398.11 |
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 $58.88 Median $131.83 Typical High $281.84 | Professional | TC · Technical part | $58.88 | $131.83 | $281.84 |
Florida Blue Setting Facility Modifier None Typical Low $194.98 Median $794.33 Typical High $977.24 | Facility | None | $194.98 | $794.33 | $977.24 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $128.82 | $223.87 | $269.15 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $61.66 | $69.18 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $162.18 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $114.82 Typical High $269.15 | Professional | None (both parts) | $39.81 | $114.82 | $269.15 |
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 $302.00 | Professional | None (both parts) | $107.15 | $154.88 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $42.66 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $107.15 | $213.80 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
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 |
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 $67.61 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $67.61 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $33.88 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $120.23 Median $144.54 Typical High $169.82 | Professional | CT · Older CT scanner | $120.23 | $144.54 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $138.04 Typical High $158.49 | Professional | FX · Film X-ray | $112.20 | $138.04 | $158.49 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | Q6 · Substitute physician, paid per time | $102.33 | $102.33 | $102.33 |
Where Florida sits
The same service costs 5.8 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· 48th of 51
$148
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.