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 $72.44 Median $85.11 Typical High $93.33 | Facility | None | $72.44 | $85.11 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $95.50 | Professional | None (both parts) | $79.43 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $12.59 | $14.79 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $77.62 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $95.50 | Professional | None (both parts) | $58.88 | $67.61 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $16.98 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $77.62 | Professional | TC · Technical part | $45.71 | $50.12 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $75.86 Typical High $120.23 | Facility | None | $13.80 | $75.86 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.13 Median $19.50 Typical High $23.44 | Professional | None (both parts) | $14.13 | $19.50 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $309.03 | Facility | None | $158.49 | $158.49 | $309.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $30.90 | Facility | 26 · Professional part | $12.88 | $20.89 | $30.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $93.33 Typical High $131.83 | Facility | TC · Technical part | $19.95 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $114.82 Typical High $478.63 | Professional | None (both parts) | $72.44 | $114.82 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.91 Typical High $75.86 | Professional | 26 · Professional part | $14.45 | $22.91 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $95.50 Typical High $407.38 | Professional | TC · Technical part | $58.88 | $95.50 | $407.38 |
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 $61.66 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $61.66 | $85.11 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $13.49 | $15.85 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $46.77 | $66.07 | $104.71 |
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 $38.90 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $38.90 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $18.62 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $74.13 Typical High $75.86 | Professional | FX · Film X-ray | $64.57 | $74.13 | $75.86 |
Where Kentucky sits
The same service costs 4.3 times more in Alaska than in New York. 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· 50th of 51
$72.44
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.