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 $75.86 Median $112.20 Typical High $120.23 | Facility | None | $75.86 | $112.20 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $104.71 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $26.92 | Professional | 26 · Professional part | $18.62 | $22.39 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $97.72 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $288.40 | Professional | None (both parts) | $100.00 | $158.49 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $16.22 | $19.50 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $281.84 | Professional | TC · Technical part | $72.44 | $138.04 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $147.91 | Facility | None | $22.39 | $95.50 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $21.88 Median $31.62 Typical High $37.15 | Professional | None (both parts) | $21.88 | $31.62 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $213.80 Typical High $707.95 | Facility | None | $125.89 | $213.80 | $707.95 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $32.36 Typical High $47.86 | Facility | 26 · Professional part | $7.94 | $32.36 | $47.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $120.23 Typical High $169.82 | Facility | TC · Technical part | $25.70 | $120.23 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $645.65 | Professional | None (both parts) | $72.44 | $120.23 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $30.20 Typical High $114.82 | Professional | 26 · Professional part | $19.05 | $30.20 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $97.72 Typical High $537.03 | Professional | TC · Technical part | $52.48 | $97.72 | $537.03 |
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 $60.26 Median $85.11 Typical High $208.93 | Professional | None (both parts) | $60.26 | $85.11 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $34.67 | Professional | 26 · Professional part | $16.60 | $19.95 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $169.82 | Professional | TC · Technical part | $44.67 | $63.10 | $169.82 |
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 $52.48 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $20.89 | $23.99 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $97.72 Typical High $100.00 | Professional | FX · Film X-ray | $89.13 | $97.72 | $100.00 |
Where Kentucky sits
The same service costs 4.1 times more in Alaska 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· 28th of 51
$151
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.