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 $89.13 Median $97.72 Typical High $229.09 | Facility | None | $89.13 | $97.72 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $89.13 | $97.72 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $41.69 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $56.23 | $85.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $309.03 | Professional | None (both parts) | $95.50 | $134.90 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $38.90 | $50.12 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $239.88 | Professional | TC · Technical part | $57.54 | $87.10 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $107.15 | Facility | None | $39.81 | $64.57 | $107.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $39.81 | $56.23 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $457.09 | Facility | None | $100.00 | $169.82 | $457.09 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $50.12 Typical High $70.79 | Facility | 26 · Professional part | $10.72 | $50.12 | $70.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $67.61 Typical High $97.72 | Facility | TC · Technical part | $14.45 | $67.61 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $204.17 Typical High $912.01 | Professional | None (both parts) | $97.72 | $204.17 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $213.80 | Professional | 26 · Professional part | $40.74 | $66.07 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $144.54 Typical High $323.59 | Professional | TC · Technical part | $57.54 | $144.54 | $323.59 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $104.71 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $40.74 | $47.86 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $89.13 | $154.88 |
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 $48.98 Typical High $70.79 | Professional | 52 · Reduced service | $44.67 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $28.84 | Professional | 53 · Discontinued | $18.20 | $19.50 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $87.10 | Professional | FX · Film X-ray | $72.44 | $79.43 | $87.10 |
Where Kentucky sits
The same service costs 4.6 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· 32nd of 51
$135
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.