How much rates vary
Facilitymedian $145 · 10th to 90th $79 to $282Professionalmedian $200 · 10th to 90th $110 to $339
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 $151.36 Typical High $436.52 | Facility | None | $144.54 | $151.36 | $436.52 |
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 $83.18 Median $83.18 Typical High $190.55 | Facility | TC · Technical part | $83.18 | $83.18 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $144.54 | $158.49 | $288.40 |
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 $83.18 Median $93.33 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $93.33 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $141.25 | $234.42 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $70.79 | $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 $104.71 Typical High $190.55 | Facility | None | $57.54 | $104.71 | $190.55 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $56.23 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $239.88 Typical High $323.59 | Facility | None | $213.80 | $239.88 | $323.59 |
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 $20.89 Median $97.72 Typical High $141.25 | Facility | TC · Technical part | $20.89 | $97.72 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $302.00 Typical High $1,071.52 | Professional | None (both parts) | $125.89 | $302.00 | $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 $74.13 Median $218.78 Typical High $691.83 | Professional | TC · Technical part | $74.13 | $218.78 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $33.11 | $33.11 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $158.49 | $234.42 | $316.23 |
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 $95.50 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $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 $70.79 Median $70.79 Typical High $134.90 | Professional | 52 · Reduced service | $70.79 | $70.79 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.84 Typical High $53.70 | Professional | 53 · Discontinued | $28.18 | $28.84 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $120.23 Median $120.23 Typical High $154.88 | Professional | CT · Older CT scanner | $120.23 | $120.23 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | FX · Film X-ray | $114.82 | $114.82 | $144.54 |
Where Kentucky sits
The same service costs 5.8 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· 40th of 51
$195
AK $603UT $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.