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 $389.05 Typical High $1,513.56 | Facility | None | $169.82 | $389.05 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $354.81 | Facility | TC · Technical part | $120.23 | $120.23 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $169.82 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $72.44 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $114.82 | $120.23 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $114.82 | $144.54 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $66.07 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $128.82 | Professional | TC · Technical part | $34.67 | $67.61 | $128.82 |
AvMed Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $251.19 | Facility | None | $69.18 | $131.83 | $251.19 |
AvMed Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $151.36 | Professional | None (both parts) | $83.18 | $104.71 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $436.52 Typical High $630.96 | Facility | None | $107.15 | $436.52 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $131.83 | $199.53 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $60.26 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $72.44 | $123.03 | $275.42 |
Florida Blue Setting Facility Modifier None Typical Low $812.83 Median $1,659.59 Typical High $2,570.40 | Facility | None | $812.83 | $1,659.59 | $2,570.40 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $147.91 | $223.87 | $263.03 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $64.57 | $91.20 | $117.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $134.90 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $134.90 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $83.18 Median $158.49 Typical High $371.54 | Professional | None (both parts) | $83.18 | $158.49 | $371.54 |
United Setting Facility Modifier None Typical Low $275.42 Median $302.00 Typical High $302.00 | Facility | None | $275.42 | $302.00 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $147.91 | $177.83 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $147.91 | Professional | 26 · Professional part | $63.10 | $74.13 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $102.33 | $194.98 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | TC · Technical part | $79.43 | $79.43 | $79.43 |
3 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 CT · Older CT scanner Typical Low $144.54 Median $144.54 Typical High $190.55 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | FX · Film X-ray | $138.04 | $138.04 | $181.97 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $144.54 Median $151.36 Typical High $151.36 | Professional | Q6 · Substitute physician, paid per time | $144.54 | $151.36 | $151.36 |
Where Florida sits
The same service costs 18.2 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· 49th of 51
$170
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.