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 $85.11 Median $93.33 Typical High $141.25 | Facility | None | $85.11 | $93.33 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $85.11 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $25.12 | Professional | 26 · Professional part | $22.39 | $24.55 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $67.61 Typical High $69.18 | Professional | TC · Technical part | $61.66 | $67.61 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | 26 · Professional part | $16.22 | $16.22 | $16.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $81.28 | $102.33 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $22.39 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $74.13 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $75.86 Typical High $218.78 | Facility | None | $23.99 | $75.86 | $218.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.38 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $21.38 | $29.51 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $29.51 Typical High $42.66 | Facility | 26 · Professional part | $6.31 | $29.51 | $42.66 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $17.38 Median $81.28 Typical High $117.49 | Facility | TC · Technical part | $17.38 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $114.82 Typical High $549.54 | Professional | None (both parts) | $89.13 | $114.82 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $128.82 | Professional | 26 · Professional part | $23.99 | $28.18 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $363.08 | Professional | TC · Technical part | $66.07 | $87.10 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $33.11 | $33.11 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $109.65 | $120.23 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $23.44 | $26.92 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $85.11 | $93.33 | $120.23 |
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 $41.69 Median $46.77 Typical High $46.77 | Professional | 52 · Reduced service | $41.69 | $46.77 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $18.62 | Professional | 53 · Discontinued | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $74.13 Typical High $74.13 | Professional | FX · Film X-ray | $67.61 | $74.13 | $74.13 |
Where Kentucky sits
The same service costs 4.0 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· 45th of 51
$102
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.