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 $213.80 Median $213.80 Typical High $891.25 | Facility | None | $213.80 | $213.80 | $891.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $446.68 | Facility | TC · Technical part | $151.36 | $151.36 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $213.80 | $234.42 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $66.07 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $165.96 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $245.47 | $363.08 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $186.21 | $302.00 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $144.54 Typical High $239.88 | Facility | None | $58.88 | $144.54 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $58.88 | $83.18 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $588.84 | Facility | None | $354.81 | $354.81 | $588.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $74.13 Typical High $104.71 | Facility | 26 · Professional part | $15.85 | $74.13 | $104.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $177.83 Typical High $251.19 | Facility | TC · Technical part | $38.02 | $177.83 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $562.34 Typical High $2,089.30 | Professional | None (both parts) | $190.55 | $562.34 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $102.33 Typical High $316.23 | Professional | 26 · Professional part | $54.95 | $102.33 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $446.68 Typical High $1,548.82 | Professional | TC · Technical part | $134.90 | $446.68 | $1,548.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $33.11 | $33.11 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $588.84 | Professional | None (both parts) | $245.47 | $457.09 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $72.44 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $181.97 | $398.11 | $512.86 |
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 $107.15 Median $107.15 Typical High $263.03 | Professional | 52 · Reduced service | $107.15 | $107.15 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $104.71 | Professional | 53 · Discontinued | $42.66 | $42.66 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $295.12 | Professional | FX · Film X-ray | $169.82 | $169.82 | $295.12 |
Where Kentucky sits
The same service costs 5.8 times more in Wyoming 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· 32nd of 51
$380
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.