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 $26.92 Median $29.51 Typical High $42.66 | Facility | None | $26.92 | $29.51 | $42.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $9.33 Typical High $13.49 | Facility | 26 · Professional part | $8.71 | $9.33 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $38.90 | Facility | TC · Technical part | $18.20 | $19.95 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $26.92 | $29.51 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $8.51 | $9.33 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.95 Typical High $26.30 | Professional | TC · Technical part | $18.20 | $19.95 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $22.91 | $29.51 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $14.79 | Professional | 26 · Professional part | $8.71 | $10.23 | $14.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $19.50 Typical High $34.67 | Professional | TC · Technical part | $14.45 | $19.50 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $19.50 Typical High $32.36 | Facility | None | $8.91 | $19.50 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.91 Median $11.75 Typical High $14.45 | Professional | None (both parts) | $8.91 | $11.75 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $162.18 | Facility | None | $50.12 | $50.12 | $162.18 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.45 Median $11.48 Typical High $16.22 | Facility | 26 · Professional part | $2.45 | $11.48 | $16.22 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.13 Median $23.99 Typical High $34.67 | Facility | TC · Technical part | $5.13 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $151.36 | Professional | None (both parts) | $28.84 | $43.65 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.79 Typical High $46.77 | Professional | 26 · Professional part | $8.91 | $14.79 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $107.15 | Professional | TC · Technical part | $19.95 | $30.20 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $31.62 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $45.71 | Professional | None (both parts) | $26.92 | $31.62 | $45.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.47 Typical High $15.14 | Professional | 26 · Professional part | $8.71 | $10.47 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $21.38 | $30.20 |
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 $13.18 Median $14.79 Typical High $18.62 | Professional | 52 · Reduced service | $13.18 | $14.79 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.89 Typical High $7.41 | Professional | 53 · Discontinued | $5.37 | $5.89 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $23.44 Typical High $23.99 | Professional | FX · Film X-ray | $21.38 | $23.44 | $23.99 |
Where Kentucky sits
The same service costs 3.8 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· 48th of 51
$29.51
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.