How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $186.21 Median $186.21 Typical High $549.54 | Facility | None | $186.21 | $186.21 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $186.21 Typical High $416.87 | Professional | None (both parts) | $181.97 | $186.21 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $58.88 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $323.59 | Professional | TC · Technical part | $125.89 | $125.89 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $44.67 | $45.71 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $363.08 | Professional | None (both parts) | $213.80 | $288.40 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $69.18 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $162.18 | $239.88 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $120.23 Typical High $204.17 | Facility | None | $54.95 | $120.23 | $204.17 |
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 $316.23 Median $316.23 Typical High $489.78 | Facility | None | $316.23 | $316.23 | $489.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $97.72 | Facility | 26 · Professional part | $14.79 | $69.18 | $97.72 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $151.36 Typical High $213.80 | Facility | TC · Technical part | $32.36 | $151.36 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $489.78 Typical High $1,737.80 | Professional | None (both parts) | $165.96 | $489.78 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $97.72 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $371.54 Typical High $1,148.15 | Professional | TC · Technical part | $112.20 | $371.54 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $489.78 | Professional | None (both parts) | $229.09 | $363.08 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $54.95 | $64.57 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $162.18 | $302.00 | $371.54 |
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 $91.20 Median $93.33 Typical High $162.18 | Professional | 52 · Reduced service | $91.20 | $93.33 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $64.57 | Professional | 53 · Discontinued | $36.31 | $37.15 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $234.42 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $234.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $218.78 | Professional | FX · Film X-ray | $147.91 | $147.91 | $218.78 |
Where Kentucky sits
The same service costs 5.2 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· 30th of 51
$316
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.