How much rates vary
Facilitymedian $813 · 10th to 90th $56 to $5,623Professionalmedian $89 · 10th to 90th $54 to $200
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 $776.25 Typical High $1,584.89 | Facility | None | $169.82 | $776.25 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $74.13 | $169.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $51.29 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $120.23 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $67.61 | $81.28 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $21.38 | $23.44 |
AvMed Setting Facility Modifier None Typical Low $61.66 Median $1,000.00 Typical High $6,456.54 | Facility | None | $61.66 | $1,000.00 | $6,456.54 |
AvMed Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $79.43 | Professional | None (both parts) | $48.98 | $69.18 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $3,801.89 Typical High $5,888.44 | Facility | None | $52.48 | $3,801.89 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $70.79 | $102.33 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $60.26 | Professional | 26 · Professional part | $19.95 | $21.38 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $186.21 | Professional | TC · Technical part | $50.12 | $72.44 | $186.21 |
Florida Blue Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $100.00 | Facility | None | $87.10 | $87.10 | $100.00 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $72.44 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $72.44 | $97.72 | $131.83 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $30.20 | $38.02 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $95.50 | Professional | TC · Technical part | $51.29 | $70.79 | $95.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $79.43 Typical High $199.53 | Professional | None (both parts) | $28.18 | $79.43 | $199.53 |
United Setting Facility Modifier None Typical Low $100.00 Median $109.65 Typical High $109.65 | Facility | None | $100.00 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $69.18 | $87.10 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $24.55 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $61.66 | $123.03 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | TC · Technical part | $48.98 | $48.98 | $48.98 |
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 $81.28 Median $144.54 Typical High $144.54 | Professional | CT · Older CT scanner | $81.28 | $144.54 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $138.04 Typical High $138.04 | Professional | FX · Film X-ray | $75.86 | $138.04 | $138.04 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 59 · Distinct service | $77.62 | $77.62 | $77.62 |
Where Florida sits
The same service costs 4.2 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· 47th of 51
$91.20
AK $316UT $75.86
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.