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 $295.12 Median $295.12 Typical High $891.25 | Facility | None | $295.12 | $295.12 | $891.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $120.23 | Facility | 26 · Professional part | $75.86 | $75.86 | $120.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $537.03 | Facility | TC · Technical part | $218.78 | $218.78 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $295.12 | $323.59 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $79.43 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $537.03 | Professional | TC · Technical part | $218.78 | $245.47 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $57.54 | $58.88 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $295.12 | $407.38 | $489.78 |
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 $616.60 Typical High $776.25 | Professional | 50 · Both sides | $436.52 | $616.60 | $776.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $229.09 | $338.84 | $407.38 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $234.42 Typical High $446.68 | Facility | None | $72.44 | $234.42 | $446.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $70.79 | $223.87 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $851.14 | Facility | None | $501.19 | $501.19 | $851.14 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.05 Median $89.13 Typical High $125.89 | Facility | 26 · Professional part | $19.05 | $89.13 | $125.89 |
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 $263.03 Median $660.69 Typical High $2,511.89 | Professional | None (both parts) | $263.03 | $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 $194.98 Median $549.54 Typical High $1,659.59 | Professional | TC · Technical part | $194.98 | $549.54 | $1,659.59 |
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 $346.74 Median $524.81 Typical High $676.08 | Professional | None (both parts) | $346.74 | $524.81 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $87.10 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $263.03 | $436.52 | $562.34 |
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 $147.91 Median $147.91 Typical High $316.23 | Professional | 52 · Reduced service | $147.91 | $147.91 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $125.89 | Professional | 53 · Discontinued | $58.88 | $58.88 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $309.03 | Professional | FX · Film X-ray | $234.42 | $234.42 | $309.03 |
Where Kentucky sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 43rd of 51
$398
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.