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 $23.99 Median $26.30 Typical High $45.71 | Facility | None | $23.99 | $26.30 | $45.71 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $13.49 | Facility | 26 · Professional part | $6.61 | $7.24 | $13.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $32.36 | Facility | TC · Technical part | $16.98 | $18.62 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $23.99 | $26.30 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $12.59 | Professional | 26 · Professional part | $6.61 | $7.24 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.50 Typical High $35.48 | Professional | TC · Technical part | $16.98 | $19.50 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.30 Typical High $33.88 | Professional | None (both parts) | $21.38 | $26.30 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $8.91 | $9.33 | $12.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $23.99 | $25.70 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $8.51 | $12.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $38.02 Typical High $60.26 | Professional | 50 · Both sides | $32.36 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.98 Typical High $27.54 | Professional | TC · Technical part | $13.80 | $16.98 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $7.08 Median $20.42 Typical High $33.11 | Facility | None | $7.08 | $20.42 | $33.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $19.50 Typical High $32.36 | Professional | None (both parts) | $6.92 | $19.50 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $151.36 | Facility | None | $45.71 | $45.71 | $151.36 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.95 Median $9.12 Typical High $12.88 | Facility | 26 · Professional part | $1.95 | $9.12 | $12.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $4.90 Median $22.91 Typical High $33.11 | Facility | TC · Technical part | $4.90 | $22.91 | $33.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $138.04 | Professional | None (both parts) | $25.12 | $38.90 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.48 Typical High $39.81 | Professional | 26 · Professional part | $7.08 | $11.48 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.18 Typical High $102.33 | Professional | TC · Technical part | $18.20 | $28.18 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $28.84 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $22.91 | $28.18 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $12.02 | Professional | 26 · Professional part | $6.92 | $7.94 | $12.02 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.42 Typical High $28.18 | Professional | TC · Technical part | $15.85 | $20.42 | $28.18 |
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 $11.75 Median $12.88 Typical High $15.14 | Professional | 52 · Reduced service | $11.75 | $12.88 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.25 Typical High $6.03 | Professional | 53 · Discontinued | $4.68 | $5.25 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $20.89 Typical High $21.38 | Professional | FX · Film X-ray | $18.62 | $20.89 | $21.38 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$25.70
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.