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 $51.29 Median $51.29 Typical High $56.23 | Facility | None | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | None (both parts) | $47.86 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $14.45 | $16.60 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $39.81 Typical High $42.66 | Professional | TC · Technical part | $30.90 | $39.81 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $66.07 | Professional | None (both parts) | $39.81 | $44.67 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $15.49 | $18.20 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $26.30 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $38.90 Typical High $61.66 | Facility | None | $15.85 | $38.90 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $15.49 | $22.39 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $323.59 | Facility | None | $97.72 | $97.72 | $323.59 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.27 Median $19.50 Typical High $28.18 | Facility | 26 · Professional part | $4.27 | $19.50 | $28.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.47 Median $47.86 Typical High $69.18 | Facility | TC · Technical part | $10.47 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $74.13 Typical High $295.12 | Professional | None (both parts) | $47.86 | $74.13 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $24.55 Typical High $81.28 | Professional | 26 · Professional part | $16.22 | $24.55 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $213.80 | Professional | TC · Technical part | $29.51 | $50.12 | $213.80 |
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 $41.69 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $41.69 | $48.98 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $25.70 | Professional | 26 · Professional part | $15.14 | $18.20 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $25.70 | $31.62 | $53.70 |
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 $23.99 Median $28.18 Typical High $29.51 | Professional | 52 · Reduced service | $23.99 | $28.18 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $12.02 | Professional | 53 · Discontinued | $9.55 | $11.22 | $12.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $44.67 Typical High $45.71 | Professional | FX · Film X-ray | $38.90 | $44.67 | $45.71 |
Where Kentucky sits
The same service costs 5.6 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
$47.86
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.