How much rates vary
Facilitymedian $166 · 10th to 90th $81 to $316Professionalmedian $240 · 10th to 90th $129 to $380
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 $169.82 Typical High $549.54 | Facility | None | $158.49 | $169.82 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $97.72 | Facility | 26 · Professional part | $53.70 | $53.70 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $239.88 | Facility | TC · Technical part | $102.33 | $102.33 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $158.49 | $173.78 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $53.70 | $54.95 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $114.82 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $173.78 | $245.47 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $263.03 Median $371.54 Typical High $489.78 | Professional | 50 · Both sides | $263.03 | $371.54 | $489.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $199.53 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $112.20 Typical High $239.88 | Facility | None | $51.29 | $112.20 | $239.88 |
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 $263.03 Median $263.03 Typical High $407.38 | Facility | None | $263.03 | $263.03 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $63.10 Typical High $91.20 | Facility | 26 · Professional part | $13.49 | $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 $346.74 Typical High $1,230.27 | Professional | None (both parts) | $138.04 | $346.74 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $275.42 | Professional | 26 · Professional part | $46.77 | $89.13 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $275.42 Typical High $870.96 | Professional | TC · Technical part | $91.20 | $275.42 | $870.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $275.42 Typical High $371.54 | Professional | None (both parts) | $190.55 | $275.42 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $131.83 | $218.78 | $281.84 |
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 $141.25 | Professional | 52 · Reduced service | $77.62 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $56.23 | Professional | 53 · Discontinued | $30.90 | $31.62 | $56.23 |
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 $186.21 | Professional | FX · Film X-ray | $125.89 | $125.89 | $186.21 |
Where Kentucky sits
The same service costs 5.4 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· 36th of 51
$240
AK $676UT $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.