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 $794.33 Typical High $1,621.81 | Facility | None | $169.82 | $794.33 | $1,621.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $169.82 | $263.03 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $77.62 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $177.83 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $177.83 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $295.12 | Professional | None (both parts) | $181.97 | $181.97 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $50.12 | $74.13 | $154.88 |
AvMed Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $407.38 | Facility | None | $120.23 | $181.97 | $407.38 |
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 $645.65 Typical High $758.58 | Facility | None | $100.00 | $645.65 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $933.25 | Professional | None (both parts) | $229.09 | $354.81 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $69.18 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $165.96 | $263.03 | $707.95 |
Florida Blue Setting Facility Modifier None Typical Low $398.11 Median $416.87 Typical High $416.87 | Facility | None | $398.11 | $416.87 | $416.87 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $257.04 | $398.11 | $501.19 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $61.66 | $93.33 | $125.89 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $295.12 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $89.13 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $89.13 | $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 $245.47 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $245.47 | $338.84 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $67.61 | $79.43 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $263.03 | $512.86 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
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 $186.21 | Professional | 52 · Reduced service | $85.11 | $85.11 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $33.88 | $74.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $281.84 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $263.03 | Professional | FX · Film X-ray | $138.04 | $138.04 | $263.03 |
Where Florida sits
The same service costs 6.2 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· 49th of 51
$263
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.