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 $173.78 Median $173.78 Typical High $549.54 | Facility | None | $173.78 | $173.78 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $186.21 Typical High $426.58 | Professional | None (both parts) | $173.78 | $186.21 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $60.26 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $60.26 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $123.03 Typical High $338.84 | Professional | TC · Technical part | $114.82 | $123.03 | $338.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $173.78 | $309.03 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $57.54 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $229.09 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $109.65 Typical High $186.21 | Facility | None | $54.95 | $109.65 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $56.23 | $72.44 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $446.68 | Facility | None | $295.12 | $295.12 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $100.00 | Facility | 26 · Professional part | $14.79 | $69.18 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $138.04 Typical High $194.98 | Facility | TC · Technical part | $29.51 | $138.04 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $416.87 Typical High $1,479.11 | Professional | None (both parts) | $154.88 | $416.87 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $338.84 | Professional | 26 · Professional part | $51.29 | $97.72 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $316.23 Typical High $1,096.48 | Professional | TC · Technical part | $102.33 | $316.23 | $1,096.48 |
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 $194.98 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $194.98 | $338.84 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $100.00 | Professional | 26 · Professional part | $61.66 | $69.18 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $131.83 | $263.03 | $331.13 |
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 $87.10 Median $87.10 Typical High $151.36 | Professional | 52 · Reduced service | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $60.26 | Professional | 53 · Discontinued | $34.67 | $34.67 | $60.26 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $147.91 Typical High $177.83 | Professional | CT · Older CT scanner | $147.91 | $147.91 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $169.82 | Professional | FX · Film X-ray | $138.04 | $138.04 | $169.82 |
Where Kentucky 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.
Kentucky· 26th of 51
$309
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.