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 $95.50 Median $102.33 Typical High $138.04 | Facility | None | $95.50 | $102.33 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $89.13 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $39.81 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $61.66 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $97.72 Typical High $181.97 | Professional | None (both parts) | $70.79 | $97.72 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $34.67 | $45.71 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $51.29 Typical High $117.49 | Professional | TC · Technical part | $38.90 | $51.29 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $112.20 | Facility | None | $38.90 | $61.66 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $38.90 | $54.95 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $478.63 | Facility | None | $102.33 | $177.83 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.47 Median $48.98 Typical High $69.18 | Facility | 26 · Professional part | $10.47 | $48.98 | $69.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $75.86 Typical High $109.65 | Facility | TC · Technical part | $16.22 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $151.36 Typical High $549.54 | Professional | None (both parts) | $100.00 | $151.36 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $199.53 | Professional | 26 · Professional part | $39.81 | $61.66 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $93.33 Typical High $338.84 | Professional | TC · Technical part | $57.54 | $93.33 | $338.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $91.20 | $107.15 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $43.65 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $50.12 | $63.10 | $93.33 |
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 $44.67 Median $51.29 Typical High $63.10 | Professional | 52 · Reduced service | $44.67 | $51.29 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $20.42 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $20.42 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $81.28 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $81.28 | $83.18 |
Where Kentucky sits
The same service costs 4.4 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· 45th of 51
$100
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.