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 $223.87 Median $223.87 Typical High $549.54 | Facility | None | $223.87 | $223.87 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $218.78 | $223.87 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $165.96 | $165.96 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $218.78 | $302.00 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $66.07 | $93.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $457.09 Typical High $549.54 | Professional | 50 · Both sides | $331.13 | $457.09 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $295.12 | Professional | TC · Technical part | $169.82 | $239.88 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $165.96 Typical High $281.84 | Facility | None | $52.48 | $165.96 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $53.70 | $72.44 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $676.08 | Facility | None | $251.19 | $371.54 | $676.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.13 Median $66.07 Typical High $95.50 | Facility | 26 · Professional part | $14.13 | $66.07 | $95.50 |
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 $204.17 Median $457.09 Typical High $1,513.56 | Professional | None (both parts) | $204.17 | $457.09 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $93.33 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $93.33 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $363.08 Typical High $1,148.15 | Professional | TC · Technical part | $154.88 | $363.08 | $1,148.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $478.63 | Professional | None (both parts) | $269.15 | $354.81 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $63.10 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $371.54 | Professional | TC · Technical part | $204.17 | $288.40 | $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 $109.65 Median $112.20 Typical High $181.97 | Professional | 52 · Reduced service | $109.65 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $44.67 Typical High $72.44 | Professional | 53 · Discontinued | $43.65 | $44.67 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $190.55 Median $190.55 Typical High $245.47 | Professional | CT · Older CT scanner | $190.55 | $190.55 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | FX · Film X-ray | $177.83 | $177.83 | $229.09 |
Where Kentucky sits
The same service costs 5.0 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· 34th of 51
$331
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.