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 $245.47 Median $251.19 Typical High $549.54 | Facility | None | $245.47 | $251.19 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $128.82 | Facility | 26 · Professional part | $81.28 | $81.28 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $316.23 | Facility | TC · Technical part | $165.96 | $165.96 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $245.47 | $275.42 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $79.43 | $83.18 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $251.19 | $371.54 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $95.50 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $165.96 | $263.03 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $194.98 Typical High $346.74 | Facility | None | $77.62 | $194.98 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $77.62 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $691.83 | Facility | None | $416.87 | $416.87 | $691.83 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | 26 · Professional part | $20.42 | $95.50 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $281.84 | Facility | TC · Technical part | $41.69 | $194.98 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $549.54 Typical High $2,089.30 | Professional | None (both parts) | $229.09 | $549.54 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $426.58 | Professional | 26 · Professional part | $70.79 | $128.82 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $426.58 Typical High $1,819.70 | Professional | TC · Technical part | $158.49 | $426.58 | $1,819.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $288.40 | $512.86 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $89.13 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $407.38 Typical High $537.03 | Professional | TC · Technical part | $199.53 | $407.38 | $537.03 |
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 $123.03 Median $123.03 Typical High $204.17 | Professional | 52 · Reduced service | $123.03 | $123.03 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | 53 · Discontinued | $48.98 | $48.98 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $208.93 Typical High $257.04 | Professional | CT · Older CT scanner | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | FX · Film X-ray | $199.53 | $199.53 | $239.88 |
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· 37th of 51
$363
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.