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 $181.97 Median $181.97 Typical High $549.54 | Facility | None | $181.97 | $181.97 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $181.97 | $194.98 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $56.23 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $138.04 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
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 $91.20 | Professional | 26 · Professional part | $53.70 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $446.68 Typical High $549.54 | Professional | 50 · Both sides | $331.13 | $446.68 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $234.42 Typical High $295.12 | Professional | TC · Technical part | $162.18 | $234.42 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $125.89 Typical High $204.17 | Facility | None | $53.70 | $125.89 | $204.17 |
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 $186.21 Median $309.03 Typical High $616.60 | Facility | None | $186.21 | $309.03 | $616.60 |
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 $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 $162.18 Median $416.87 Typical High $1,513.56 | Professional | None (both parts) | $162.18 | $416.87 | $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 $112.20 Median $338.84 Typical High $1,148.15 | Professional | TC · Technical part | $112.20 | $338.84 | $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 $229.09 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $229.09 | $338.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $53.70 | $61.66 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $288.40 Typical High $363.08 | Professional | TC · Technical part | $165.96 | $288.40 | $363.08 |
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 $91.20 Typical High $158.49 | Professional | 52 · Reduced service | $91.20 | $91.20 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $37.15 Typical High $63.10 | Professional | 53 · Discontinued | $36.31 | $37.15 | $63.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $234.42 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $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 5.1 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· 31st of 51
$309
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.