How much rates vary
Facilitymedian $123 · 10th to 90th $65 to $263Professionalmedian $186 · 10th to 90th $105 to $324
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 $120.23 Median $125.89 Typical High $416.87 | Facility | None | $120.23 | $125.89 | $416.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $72.44 | Facility | 26 · Professional part | $39.81 | $39.81 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $190.55 | Facility | TC · Technical part | $81.28 | $81.28 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $281.84 | Professional | None (both parts) | $120.23 | $144.54 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $42.66 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $81.28 | $102.33 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $117.49 | $117.49 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $36.31 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $234.42 Typical High $323.59 | Professional | None (both parts) | $128.82 | $234.42 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $61.66 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $81.28 | $158.49 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $181.97 | Facility | None | $38.02 | $97.72 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.02 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $38.02 | $83.18 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $316.23 | Facility | None | $204.17 | $204.17 | $316.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $46.77 Typical High $67.61 | Facility | 26 · Professional part | $10.00 | $46.77 | $67.61 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $95.50 Typical High $138.04 | Facility | TC · Technical part | $20.89 | $95.50 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $288.40 Typical High $1,047.13 | Professional | None (both parts) | $107.15 | $288.40 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $74.13 Typical High $269.15 | Professional | 26 · Professional part | $34.67 | $74.13 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $213.80 Typical High $724.44 | Professional | TC · Technical part | $72.44 | $213.80 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $134.90 | $229.09 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $54.95 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $173.78 | $218.78 |
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 $60.26 Median $60.26 Typical High $125.89 | Professional | 52 · Reduced service | $60.26 | $60.26 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $50.12 | Professional | 53 · Discontinued | $23.99 | $23.99 | $50.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | CT · Older CT scanner | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | FX · Film X-ray | $97.72 | $97.72 | $114.82 |
Where Kentucky sits
The same service costs 4.9 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· 35th of 51
$186
AK $513UT $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.