How much rates vary
Facilitymedian $257 · 10th to 90th $145 to $501Professionalmedian $347 · 10th to 90th $204 to $575
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 $251.19 Median $257.04 Typical High $549.54 | Facility | None | $251.19 | $257.04 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $151.36 | Facility | 26 · Professional part | $85.11 | $85.11 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $354.81 | Facility | TC · Technical part | $165.96 | $165.96 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $251.19 | $281.84 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $83.18 | $87.10 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $199.53 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $64.57 | $102.33 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $245.47 | $346.74 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $81.28 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $269.15 Typical High $302.00 | Professional | TC · Technical part | $173.78 | $269.15 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $213.80 Typical High $398.11 | Facility | None | $81.28 | $213.80 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $79.43 | $186.21 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $707.95 | Facility | None | $416.87 | $416.87 | $707.95 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.38 Median $100.00 Typical High $141.25 | Facility | 26 · Professional part | $21.38 | $100.00 | $141.25 |
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 $234.42 Median $549.54 Typical High $1,905.46 | Professional | None (both parts) | $234.42 | $549.54 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $131.83 Typical High $467.74 | Professional | 26 · Professional part | $74.13 | $131.83 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $446.68 Typical High $1,380.38 | Professional | TC · Technical part | $162.18 | $446.68 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $33.11 | $33.11 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $616.60 | Professional | None (both parts) | $295.12 | $457.09 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $97.72 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $204.17 | $363.08 | $478.63 |
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 $125.89 Typical High $204.17 | Professional | 52 · Reduced service | $123.03 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $81.28 | Professional | 53 · Discontinued | $50.12 | $50.12 | $81.28 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | CT · Older CT scanner | $213.80 | $213.80 | $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 12.3 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· 37th of 51
$347
VT $2,089UT $170
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.