How much rates vary
Facilitymedian $148 · 10th to 90th $79 to $309Professionalmedian $257 · 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 $144.54 Median $154.88 Typical High $537.03 | Facility | None | $144.54 | $154.88 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $95.50 | Facility | 26 · Professional part | $52.48 | $54.95 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $229.09 | Facility | TC · Technical part | $91.20 | $91.20 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $354.81 | Professional | None (both parts) | $144.54 | $162.18 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $54.95 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $288.40 | Professional | TC · Technical part | $91.20 | $102.33 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $50.12 | $63.10 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $141.25 | $257.04 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $70.79 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $186.21 Typical High $245.47 | Professional | TC · Technical part | $93.33 | $186.21 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $190.55 | Facility | None | $50.12 | $100.00 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $50.12 | $95.50 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $245.47 Typical High $354.81 | Facility | None | $234.42 | $245.47 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $61.66 Typical High $89.13 | Facility | 26 · Professional part | $13.18 | $61.66 | $89.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $109.65 Typical High $154.88 | Facility | TC · Technical part | $23.44 | $109.65 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $338.84 Typical High $1,230.27 | Professional | None (both parts) | $125.89 | $338.84 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $87.10 Typical High $309.03 | Professional | 26 · Professional part | $45.71 | $87.10 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $251.19 Typical High $891.25 | Professional | TC · Technical part | $81.28 | $251.19 | $891.25 |
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 $158.49 Median $275.42 Typical High $354.81 | Professional | None (both parts) | $158.49 | $275.42 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $64.57 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $104.71 | $208.93 | $263.03 |
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 $70.79 Median $72.44 Typical High $141.25 | Professional | 52 · Reduced service | $70.79 | $72.44 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $57.54 | Professional | 53 · Discontinued | $28.84 | $28.84 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | CT · Older CT scanner | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $138.04 | Professional | FX · Film X-ray | $114.82 | $114.82 | $138.04 |
Where Kentucky sits
The same service costs 5.9 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· 26th of 51
$257
AK $617UT $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.