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 $245.47 Median $251.19 Typical High $891.25 | Facility | None | $245.47 | $251.19 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $269.15 Typical High $630.96 | Professional | None (both parts) | $245.47 | $269.15 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $77.62 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $537.03 | Professional | TC · Technical part | $169.82 | $177.83 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $288.40 | $426.58 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $87.10 | $102.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $436.52 Median $645.65 Typical High $758.58 | Professional | 50 · Both sides | $436.52 | $645.65 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $338.84 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $338.84 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $165.96 Typical High $275.42 | Facility | None | $70.79 | $165.96 | $275.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $70.79 | $95.50 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $676.08 | Facility | None | $416.87 | $416.87 | $676.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $87.10 Typical High $125.89 | Facility | 26 · Professional part | $19.05 | $87.10 | $125.89 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $204.17 Typical High $288.40 | Facility | TC · Technical part | $43.65 | $204.17 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $660.69 Typical High $2,511.89 | Professional | None (both parts) | $218.78 | $660.69 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $123.03 Typical High $380.19 | Professional | 26 · Professional part | $66.07 | $123.03 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $537.03 Typical High $1,737.80 | Professional | TC · Technical part | $154.88 | $537.03 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $33.11 | $33.11 | $47.86 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $676.08 | Professional | None (both parts) | $288.40 | $524.81 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $446.68 Typical High $575.44 | Professional | TC · Technical part | $208.93 | $446.68 | $575.44 |
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 $123.03 Median $125.89 Typical High $316.23 | Professional | 52 · Reduced service | $123.03 | $125.89 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $125.89 | Professional | 53 · Discontinued | $48.98 | $50.12 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $295.12 | Professional | FX · Film X-ray | $199.53 | $199.53 | $295.12 |
Where Kentucky sits
The same service costs 5.5 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· 31st of 51
$427
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.