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 $223.87 Median $812.83 Typical High $1,621.81 | Facility | None | $223.87 | $812.83 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $169.82 | $186.21 | $389.05 |
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 $123.03 Typical High $302.00 | Professional | TC · Technical part | $120.23 | $123.03 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $426.58 | Professional | None (both parts) | $162.18 | $162.18 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $44.67 | $61.66 |
AvMed Setting Facility Modifier None Typical Low $93.33 Median $177.83 Typical High $331.13 | Facility | None | $93.33 | $177.83 | $331.13 |
AvMed Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $112.20 | $144.54 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $537.03 Typical High $724.44 | Facility | None | $100.00 | $537.03 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $269.15 Typical High $602.56 | Professional | None (both parts) | $138.04 | $269.15 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $44.67 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $97.72 | $194.98 | $457.09 |
Florida Blue Setting Facility Modifier None Typical Low $288.40 Median $758.58 Typical High $1,584.89 | Facility | None | $288.40 | $758.58 | $1,584.89 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $194.98 | $338.84 | $407.38 |
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 $151.36 Median $263.03 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $263.03 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $44.67 Median $165.96 Typical High $398.11 | Professional | None (both parts) | $44.67 | $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 $165.96 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $165.96 | $234.42 | $457.09 |
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 $128.82 Median $173.78 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $173.78 | $354.81 |
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 $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
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 $141.25 | Professional | 52 · Reduced service | $85.11 | $85.11 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $56.23 | Professional | 53 · Discontinued | $33.88 | $33.88 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $234.42 |
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 5.1 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.