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 $32.36 Median $34.67 Typical High $36.31 | Facility | None | $32.36 | $34.67 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $32.36 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.51 Typical High $10.96 | Professional | 26 · Professional part | $7.59 | $8.51 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $23.44 | $26.30 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $26.30 | $31.62 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $7.59 | $9.77 | $13.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $47.86 Typical High $74.13 | Professional | 50 · Both sides | $38.90 | $47.86 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $21.88 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $26.30 Typical High $40.74 | Facility | None | $7.94 | $26.30 | $40.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $10.72 Typical High $13.18 | Professional | None (both parts) | $8.13 | $10.72 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $213.80 | Facility | None | $61.66 | $61.66 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.95 Median $11.75 Typical High $17.78 | Facility | 26 · Professional part | $2.95 | $11.75 | $17.78 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.08 Median $33.11 Typical High $46.77 | Facility | TC · Technical part | $7.08 | $33.11 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $186.21 | Professional | None (both parts) | $33.11 | $51.29 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $43.65 | Professional | 26 · Professional part | $8.32 | $13.49 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $39.81 Typical High $144.54 | Professional | TC · Technical part | $23.99 | $39.81 | $144.54 |
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 $28.84 Median $37.15 Typical High $52.48 | Professional | None (both parts) | $28.84 | $37.15 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $9.33 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $26.92 | $38.90 |
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 $15.49 Median $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $7.08 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $25.12 | $28.18 | $28.18 |
Where Kentucky sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 46th of 51
$34.67
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.