How much rates vary
Facilitymedian $158 · 10th to 90th $83 to $363Professionalmedian $245 · 10th to 90th $138 to $389
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 $158.49 Median $165.96 Typical High $524.81 | Facility | None | $158.49 | $165.96 | $524.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $85.11 | Facility | 26 · Professional part | $53.70 | $53.70 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $288.40 | Facility | TC · Technical part | $102.33 | $102.33 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $158.49 | $190.55 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $56.23 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $123.03 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $194.98 | $194.98 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $41.69 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $331.13 | Professional | None (both parts) | $177.83 | $269.15 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $67.61 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $128.82 | $190.55 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $112.20 Typical High $208.93 | Facility | None | $51.29 | $112.20 | $208.93 |
CareSource Setting Professional Modifier None (both parts) Typical Low $51.29 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $51.29 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $407.38 | Facility | None | $269.15 | $269.15 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $63.10 Typical High $91.20 | Facility | 26 · Professional part | $13.80 | $63.10 | $91.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.30 Median $123.03 Typical High $173.78 | Facility | TC · Technical part | $26.30 | $123.03 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $398.11 Typical High $1,445.44 | Professional | None (both parts) | $138.04 | $398.11 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $89.13 Typical High $295.12 | Professional | 26 · Professional part | $47.86 | $89.13 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $302.00 Typical High $912.01 | Professional | TC · Technical part | $91.20 | $302.00 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $33.11 | $33.11 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $186.21 | $302.00 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $64.57 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $234.42 | $295.12 |
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 $77.62 Median $79.43 Typical High $147.91 | Professional | 52 · Reduced service | $77.62 | $79.43 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $31.62 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $134.90 Typical High $199.53 | Professional | CT · Older CT scanner | $134.90 | $134.90 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | FX · Film X-ray | $125.89 | $125.89 | $190.55 |
Where Kentucky sits
The same service costs 5.9 times more in Vermont 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· 34th of 51
$245
VT $741UT $126
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.