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 $26.92 Median $29.51 Typical High $36.31 | Facility | None | $26.92 | $29.51 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $47.86 | Professional | None (both parts) | $26.92 | $29.51 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.59 | Professional | 26 · Professional part | $7.41 | $8.13 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $19.50 | $21.38 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.42 Median $30.20 Typical High $47.86 | Professional | None (both parts) | $20.42 | $30.20 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.55 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $9.55 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $15.85 | $22.39 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $20.89 Typical High $32.36 | Facility | None | $7.76 | $20.89 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.76 Median $10.96 Typical High $12.88 | Professional | None (both parts) | $7.76 | $10.96 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $173.78 | Facility | None | $51.29 | $51.29 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.14 Median $9.77 Typical High $14.13 | Facility | 26 · Professional part | $2.14 | $9.77 | $14.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | TC · Technical part | $5.62 | $26.30 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $43.65 Typical High $154.88 | Professional | None (both parts) | $28.84 | $43.65 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $41.69 | Professional | 26 · Professional part | $7.94 | $12.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $114.82 | Professional | TC · Technical part | $20.89 | $32.36 | $114.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $32.36 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $44.67 | Professional | None (both parts) | $26.30 | $31.62 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $9.12 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $22.39 | $31.62 |
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 $17.78 | Professional | 52 · Reduced service | $13.18 | $14.79 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.89 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $5.89 | $7.24 |
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 3.5 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
$30.20
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.