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 $630.96 Typical High $1,513.56 | Facility | None | $169.82 | $630.96 | $1,513.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $467.74 | Facility | TC · Technical part | $120.23 | $120.23 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $169.82 | $316.23 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $51.29 | $79.43 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $234.42 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $302.00 | Professional | None (both parts) | $199.53 | $263.03 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $85.11 | Professional | 26 · Professional part | $69.18 | $77.62 | $85.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $165.96 | $257.04 |
AvMed Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $562.34 | Facility | None | $165.96 | $309.03 | $562.34 |
AvMed Setting Professional Modifier None (both parts) Typical Low $199.53 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $199.53 | $251.19 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $660.69 Typical High $1,000.00 | Facility | None | $199.53 | $660.69 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $346.74 Typical High $912.01 | Professional | None (both parts) | $239.88 | $346.74 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $70.79 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $676.08 | Professional | TC · Technical part | $173.78 | $251.19 | $676.08 |
Florida Blue Setting Facility Modifier None Typical Low $1,202.26 Median $2,454.71 Typical High $3,715.35 | Facility | None | $1,202.26 | $2,454.71 | $3,715.35 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $257.04 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $257.04 | $436.52 | $489.78 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $104.71 | $134.90 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $186.21 | $309.03 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $91.20 Median $257.04 Typical High $630.96 | Professional | None (both parts) | $91.20 | $257.04 | $630.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $263.03 | $338.84 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $85.11 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $190.55 | $257.04 | $478.63 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
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 |
2 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 $331.13 | Professional | CT · Older CT scanner | $144.54 | $144.54 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | FX · Film X-ray | $138.04 | $138.04 | $309.03 |
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
$282
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.