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 $229.09 Typical High $776.25 | Facility | None | $213.80 | $229.09 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $123.03 | Facility | 26 · Professional part | $67.61 | $69.18 | $123.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $446.68 | Facility | TC · Technical part | $147.91 | $147.91 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $630.96 | Professional | None (both parts) | $213.80 | $239.88 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $72.44 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $165.96 Typical High $446.68 | Professional | TC · Technical part | $147.91 | $165.96 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $169.82 | $218.78 | $218.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $251.19 | $380.19 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $181.97 | $302.00 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $158.49 Typical High $281.84 | Facility | None | $64.57 | $158.49 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $64.57 | $151.36 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $575.44 | Facility | None | $363.08 | $363.08 | $575.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | 26 · Professional part | $16.98 | $79.43 | $112.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $173.78 Typical High $251.19 | Facility | TC · Technical part | $37.15 | $173.78 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $562.34 Typical High $2,137.96 | Professional | None (both parts) | $190.55 | $562.34 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $338.84 | Professional | 26 · Professional part | $60.26 | $112.20 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $501.19 Typical High $1,584.89 | Professional | TC · Technical part | $131.83 | $501.19 | $1,584.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $467.74 Typical High $588.84 | Professional | None (both parts) | $251.19 | $467.74 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $79.43 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $177.83 | $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 $109.65 Typical High $269.15 | Professional | 52 · Reduced service | $107.15 | $109.65 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $107.15 | Professional | 53 · Discontinued | $42.66 | $43.65 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $173.78 Typical High $295.12 | Professional | FX · Film X-ray | $173.78 | $173.78 | $295.12 |
Where Kentucky sits
The same service costs 6.0 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· 33rd of 51
$372
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.