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 $218.78 Median $229.09 Typical High $549.54 | Facility | None | $218.78 | $229.09 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $107.15 | Facility | 26 · Professional part | $58.88 | $58.88 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $302.00 | Facility | TC · Technical part | $158.49 | $158.49 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $218.78 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $61.66 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $158.49 | $173.78 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $173.78 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $56.23 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $338.84 | Professional | None (both parts) | $204.17 | $281.84 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $56.23 | $69.18 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $208.93 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $169.82 Typical High $323.59 | Facility | None | $56.23 | $169.82 | $323.59 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $56.23 | $162.18 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $616.60 | Facility | None | $363.08 | $363.08 | $616.60 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $100.00 | Facility | 26 · Professional part | $14.79 | $69.18 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $186.21 Typical High $269.15 | Facility | TC · Technical part | $39.81 | $186.21 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $416.87 Typical High $1,412.54 | Professional | None (both parts) | $194.98 | $416.87 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $302.00 | Professional | 26 · Professional part | $51.29 | $95.50 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $316.23 Typical High $977.24 | Professional | TC · Technical part | $141.25 | $316.23 | $977.24 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $234.42 | $316.23 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $64.57 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $316.23 | Professional | TC · Technical part | $169.82 | $251.19 | $316.23 |
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 $107.15 Median $107.15 Typical High $177.83 | Professional | 52 · Reduced service | $107.15 | $107.15 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $70.79 | Professional | 53 · Discontinued | $42.66 | $43.65 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $181.97 Typical High $213.80 | Professional | CT · Older CT scanner | $181.97 | $181.97 | $213.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $199.53 | Professional | FX · Film X-ray | $173.78 | $173.78 | $199.53 |
Where Kentucky sits
The same service costs 4.5 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· 45th of 51
$263
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.