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 $562.34 Median $562.34 Typical High $891.25 | Facility | None | $562.34 | $562.34 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $562.34 Typical High $707.95 | Professional | None (both parts) | $524.81 | $562.34 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $144.54 | $147.91 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $512.86 Typical High $562.34 | Professional | TC · Technical part | $478.63 | $512.86 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $316.23 | $489.78 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | 26 · Professional part | $123.03 | $158.49 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $331.13 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $331.13 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $1,047.13 Typical High $1,778.28 | Facility | None | $141.25 | $1,047.13 | $1,778.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $151.36 | $194.98 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $4,265.80 | Facility | None | $1,122.02 | $1,122.02 | $4,265.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $181.97 Typical High $257.04 | Facility | 26 · Professional part | $38.90 | $181.97 | $257.04 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $602.56 Typical High $870.96 | Facility | TC · Technical part | $128.82 | $602.56 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,737.80 Typical High $4,168.69 | Professional | None (both parts) | $1,023.29 | $1,737.80 | $4,168.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $741.31 | Professional | 26 · Professional part | $144.54 | $223.87 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,513.56 Typical High $3,890.45 | Professional | TC · Technical part | $954.99 | $1,513.56 | $3,890.45 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $138.04 | Professional | None (both parts) | $33.11 | $33.11 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $851.14 | Professional | None (both parts) | $346.74 | $467.74 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $134.90 | $177.83 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $302.00 | $645.65 |
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 $263.03 Median $281.84 Typical High $346.74 | Professional | 52 · Reduced service | $263.03 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | 53 · Discontinued | $107.15 | $112.20 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $446.68 Typical High $467.74 | Professional | FX · Film X-ray | $407.38 | $446.68 | $467.74 |
Where Kentucky sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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
$501
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.