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 $173.78 Median $186.21 Typical High $363.08 | Facility | None | $173.78 | $186.21 | $363.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $128.82 | Facility | 26 · Professional part | $81.28 | $81.28 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $181.97 | Facility | TC · Technical part | $95.50 | $95.50 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $173.78 | $194.98 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $77.62 | $83.18 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $112.20 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $138.04 | $177.83 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $158.49 | $199.53 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $81.28 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $120.23 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $263.03 | Facility | None | $75.86 | $128.82 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $75.86 | $109.65 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $371.54 | Facility | None | $245.47 | $295.12 | $371.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | 26 · Professional part | $20.42 | $95.50 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $112.20 Typical High $162.18 | Facility | TC · Technical part | $23.99 | $112.20 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $891.25 | Professional | None (both parts) | $154.88 | $281.84 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $389.05 | Professional | 26 · Professional part | $70.79 | $123.03 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $169.82 Typical High $501.19 | Professional | TC · Technical part | $83.18 | $169.82 | $501.19 |
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 $190.55 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $190.55 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $91.20 Typical High $134.90 | Professional | 26 · Professional part | $81.28 | $91.20 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $104.71 | $125.89 | $186.21 |
2 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 CT · Older CT scanner Typical Low $147.91 Median $147.91 Typical High $169.82 | Professional | CT · Older CT scanner | $147.91 | $147.91 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | FX · Film X-ray | $141.25 | $141.25 | $162.18 |
Where Kentucky sits
The same service costs 18.2 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· 47th of 51
$200
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.