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 $128.82 Median $138.04 Typical High $151.36 | Facility | None | $128.82 | $138.04 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $162.18 | Professional | None (both parts) | $128.82 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $48.98 | $54.95 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $95.50 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $120.23 | $138.04 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $66.07 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $74.13 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $165.96 | Facility | None | $52.48 | $93.33 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $52.48 | $70.79 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $776.25 | Facility | None | $251.19 | $257.04 | $776.25 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $64.57 Typical High $93.33 | Facility | 26 · Professional part | $13.80 | $64.57 | $93.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $114.82 Typical High $165.96 | Facility | TC · Technical part | $24.55 | $114.82 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $776.25 | Professional | None (both parts) | $128.82 | $199.53 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $281.84 | Professional | 26 · Professional part | $53.70 | $87.10 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $512.86 | Professional | TC · Technical part | $67.61 | $125.89 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $114.82 | $154.88 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $61.66 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $91.20 | $141.25 |
3 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 $64.57 Median $75.86 Typical High $81.28 | Professional | 52 · Reduced service | $64.57 | $75.86 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $32.36 | Professional | 53 · Discontinued | $25.70 | $30.20 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $120.23 Typical High $123.03 | Professional | FX · Film X-ray | $104.71 | $120.23 | $123.03 |
Where Kentucky sits
The same service costs 4.3 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· 47th of 51
$141
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.