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 $288.40 Typical High $891.25 | Facility | None | $281.84 | $288.40 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $281.84 | $309.03 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $83.18 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $204.17 | $223.87 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $61.66 | $61.66 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $346.74 | $446.68 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $75.86 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $363.08 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $363.08 | $457.09 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $199.53 Typical High $426.58 | Facility | None | $75.86 | $199.53 | $426.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $75.86 | $107.15 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $794.33 | Facility | None | $478.63 | $478.63 | $794.33 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $93.33 Typical High $134.90 | Facility | 26 · Professional part | $19.95 | $93.33 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $239.88 Typical High $346.74 | Facility | TC · Technical part | $51.29 | $239.88 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $691.83 Typical High $2,570.40 | Professional | None (both parts) | $251.19 | $691.83 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $131.83 Typical High $407.38 | Professional | 26 · Professional part | $70.79 | $131.83 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $588.84 Typical High $1,905.46 | Professional | TC · Technical part | $181.97 | $588.84 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $52.48 | Professional | None (both parts) | $33.11 | $33.11 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $331.13 | $562.34 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $93.33 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $478.63 Typical High $602.56 | Professional | TC · Technical part | $239.88 | $478.63 | $602.56 |
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 $144.54 Typical High $323.59 | Professional | 52 · Reduced service | $141.25 | $144.54 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $128.82 | Professional | 53 · Discontinued | $56.23 | $57.54 | $128.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | FX · Film X-ray | $229.09 | $229.09 | $295.12 |
Where Kentucky sits
The same service costs 5.6 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· 36th of 51
$447
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.