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 $281.84 Median $281.84 Typical High $891.25 | Facility | None | $281.84 | $281.84 | $891.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $114.82 | Facility | 26 · Professional part | $63.10 | $63.10 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $446.68 | Facility | TC · Technical part | $218.78 | $218.78 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $323.59 Typical High $676.08 | Professional | None (both parts) | $281.84 | $323.59 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $67.61 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $239.88 Typical High $501.19 | Professional | TC · Technical part | $218.78 | $239.88 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $223.87 | $223.87 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $60.26 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $275.42 | $371.54 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $72.44 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $562.34 Typical High $707.95 | Professional | 50 · Both sides | $407.38 | $562.34 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $302.00 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $234.42 Typical High $426.58 | Facility | None | $60.26 | $234.42 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $60.26 | $223.87 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $851.14 | Facility | None | $478.63 | $478.63 | $851.14 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $74.13 Typical High $107.15 | Facility | 26 · Professional part | $15.85 | $74.13 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $263.03 Typical High $371.54 | Facility | TC · Technical part | $56.23 | $263.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $575.44 Typical High $2,089.30 | Professional | None (both parts) | $251.19 | $575.44 | $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 $194.98 Median $489.78 Typical High $1,621.81 | Professional | TC · Technical part | $194.98 | $489.78 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $33.11 | $33.11 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $478.63 Typical High $616.60 | Professional | None (both parts) | $331.13 | $478.63 | $616.60 |
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 $263.03 Median $407.38 Typical High $524.81 | Professional | TC · Technical part | $263.03 | $407.38 | $524.81 |
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 $141.25 Median $141.25 Typical High $263.03 | Professional | 52 · Reduced service | $141.25 | $141.25 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $104.71 | Professional | 53 · Discontinued | $56.23 | $56.23 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $229.09 Typical High $295.12 | Professional | FX · Film X-ray | $223.87 | $229.09 | $295.12 |
Where Kentucky sits
The same service costs 5.1 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· 45th of 51
$363
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.