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 $218.78 Median $229.09 Typical High $239.88 | Facility | None | $218.78 | $229.09 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $239.88 | Professional | None (both parts) | $208.93 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $97.72 | Professional | 26 · Professional part | $85.11 | $95.50 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $123.03 | $141.25 | $141.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $165.96 | $190.55 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $83.18 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $93.33 Median $194.98 Typical High $354.81 | Facility | None | $93.33 | $194.98 | $354.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $85.11 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $501.19 | Facility | None | $107.15 | $204.17 | $501.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $120.23 Typical High $173.78 | Facility | 26 · Professional part | $25.70 | $120.23 | $173.78 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $194.98 Typical High $275.42 | Facility | TC · Technical part | $41.69 | $194.98 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $1,348.96 | Professional | None (both parts) | $190.55 | $229.09 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $501.19 | Professional | 26 · Professional part | $93.33 | $109.65 | $501.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $851.14 | Professional | TC · Technical part | $97.72 | $138.04 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $33.11 | $33.11 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $173.78 | $208.93 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $87.10 | $97.72 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $87.10 | $109.65 | $158.49 |
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 $107.15 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $107.15 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $42.66 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $181.97 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $181.97 | $190.55 |
Where Kentucky sits
The same service costs 5.4 times more in Alaska 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· 47th of 51
$200
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.