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 $213.80 Median $213.80 Typical High $891.25 | Facility | None | $213.80 | $213.80 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $213.80 | $213.80 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $141.25 | $158.49 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $165.96 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $630.96 Typical High $724.44 | Professional | None (both parts) | $234.42 | $630.96 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $134.90 | $177.83 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $398.11 | $562.34 |
CareSource Setting Facility Modifier None Typical Low $144.54 Median $1,096.48 Typical High $1,862.09 | Facility | None | $144.54 | $1,096.48 | $1,862.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $239.88 | Professional | None (both parts) | $158.49 | $204.17 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $4,466.84 | Facility | None | $549.54 | $549.54 | $4,466.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $186.21 Typical High $263.03 | Facility | 26 · Professional part | $39.81 | $186.21 | $263.03 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $281.84 | Facility | TC · Technical part | $41.69 | $194.98 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,905.46 Typical High $5,495.41 | Professional | None (both parts) | $1,071.52 | $1,905.46 | $5,495.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $239.88 Typical High $758.58 | Professional | 26 · Professional part | $147.91 | $239.88 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,659.59 Typical High $5,248.07 | Professional | TC · Technical part | $1,000.00 | $1,659.59 | $5,248.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $154.88 | Professional | None (both parts) | $33.11 | $33.11 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $323.59 | $416.87 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $147.91 | $177.83 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $251.19 | $389.05 |
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 $104.71 Median $107.15 Typical High $213.80 | Professional | 52 · Reduced service | $104.71 | $107.15 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $85.11 | Professional | 53 · Discontinued | $42.66 | $42.66 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | FX · Film X-ray | $169.82 | $169.82 | $213.80 |
Where Kentucky sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 22nd of 51
$631
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.