How much rates vary
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 $251.19 Median $251.19 Typical High $549.54 | Facility | None | $251.19 | $251.19 | $549.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $302.00 | Facility | TC · Technical part | $165.96 | $165.96 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $251.19 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $147.91 | Professional | 26 · Professional part | $87.10 | $89.13 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $173.78 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $53.70 | $67.61 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $269.15 | $346.74 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $77.62 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $524.81 Typical High $676.08 | Professional | 50 · Both sides | $398.11 | $524.81 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $269.15 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $269.15 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $213.80 Typical High $346.74 | Facility | None | $85.11 | $213.80 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $81.28 | $112.20 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $851.14 | Facility | None | $426.58 | $426.58 | $851.14 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $102.33 Typical High $147.91 | Facility | 26 · Professional part | $21.88 | $102.33 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $275.42 | Facility | TC · Technical part | $41.69 | $194.98 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $602.56 Typical High $1,698.24 | Professional | None (both parts) | $269.15 | $602.56 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $457.09 | Professional | 26 · Professional part | $75.86 | $134.90 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $436.52 Typical High $1,380.38 | Professional | TC · Technical part | $190.55 | $436.52 | $1,380.38 |
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 $346.74 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $346.74 | $457.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $83.18 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $251.19 | $363.08 | $467.74 |
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 $125.89 Median $125.89 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $51.29 | $83.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | CT · Older CT scanner | $213.80 | $213.80 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | FX · Film X-ray | $204.17 | $204.17 | $239.88 |
Where Kentucky sits
The same service costs 6.2 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· 42nd of 51
$347
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.