How much rates vary
Facilitymedian $151 · 10th to 90th $87 to $302Professionalmedian $219 · 10th to 90th $117 to $355
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 $151.36 Median $162.18 Typical High $549.54 | Facility | None | $151.36 | $162.18 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $107.15 | Facility | 26 · Professional part | $60.26 | $60.26 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $190.55 | Facility | TC · Technical part | $91.20 | $91.20 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $151.36 | $169.82 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $61.66 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $107.15 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $64.57 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $147.91 | $239.88 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $69.18 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $158.49 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $199.53 | Facility | None | $57.54 | $107.15 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $56.23 | $95.50 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $354.81 | Facility | None | $234.42 | $257.04 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $100.00 | Facility | 26 · Professional part | $15.14 | $70.79 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $107.15 Typical High $154.88 | Facility | TC · Technical part | $22.91 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $331.13 Typical High $1,071.52 | Professional | None (both parts) | $131.83 | $331.13 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $302.00 | Professional | 26 · Professional part | $52.48 | $93.33 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $234.42 Typical High $870.96 | Professional | TC · Technical part | $81.28 | $234.42 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $199.53 | $275.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $66.07 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $204.17 | $275.42 |
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 $74.13 Median $75.86 Typical High $134.90 | Professional | 52 · Reduced service | $74.13 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $53.70 | Professional | 53 · Discontinued | $30.20 | $30.20 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $128.82 Typical High $154.88 | Professional | CT · Older CT scanner | $128.82 | $128.82 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | FX · Film X-ray | $120.23 | $120.23 | $144.54 |
Where Kentucky 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.
Kentucky· 36th of 51
$214
AK $646UT $105
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.