How much rates vary
Facilitymedian $123 · 10th to 90th $69 to $269Professionalmedian $182 · 10th to 90th $100 to $324
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 $123.03 Median $131.83 Typical High $407.38 | Facility | None | $123.03 | $131.83 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $85.11 | Facility | 26 · Professional part | $46.77 | $46.77 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $199.53 | Facility | TC · Technical part | $75.86 | $75.86 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $123.03 | $138.04 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $45.71 | $47.86 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $91.20 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $56.23 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $131.83 | $223.87 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $199.53 Median $338.84 Typical High $478.63 | Professional | 50 · Both sides | $199.53 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $239.88 | Professional | TC · Technical part | $91.20 | $165.96 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $97.72 Typical High $186.21 | Facility | None | $44.67 | $97.72 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $43.65 | $79.43 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $208.93 Typical High $302.00 | Facility | None | $199.53 | $208.93 | $302.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $54.95 Typical High $79.43 | Facility | 26 · Professional part | $11.75 | $54.95 | $79.43 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $91.20 Typical High $131.83 | Facility | TC · Technical part | $19.50 | $91.20 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $295.12 Typical High $1,071.52 | Professional | None (both parts) | $107.15 | $295.12 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $77.62 Typical High $257.04 | Professional | 26 · Professional part | $40.74 | $77.62 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $223.87 Typical High $691.83 | Professional | TC · Technical part | $67.61 | $223.87 | $691.83 |
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 $154.88 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $154.88 | $229.09 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $53.70 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $177.83 | $229.09 |
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 $60.26 Median $61.66 Typical High $123.03 | Professional | 52 · Reduced service | $60.26 | $61.66 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $48.98 | Professional | 53 · Discontinued | $24.55 | $24.55 | $48.98 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $104.71 Typical High $141.25 | Professional | CT · Older CT scanner | $104.71 | $104.71 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | FX · Film X-ray | $97.72 | $97.72 | $134.90 |
Where Kentucky sits
The same service costs 5.8 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
$182
VT $603UT $105
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.