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 $69.18 Median $79.43 Typical High $87.10 | Facility | None | $69.18 | $79.43 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $74.13 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $15.49 | $16.98 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $69.18 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $63.10 | $69.18 | $97.72 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $20.42 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $20.42 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $45.71 | $50.12 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $67.61 Typical High $104.71 | Facility | None | $16.60 | $67.61 | $104.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.60 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $16.60 | $22.39 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $478.63 | Facility | None | $158.49 | $158.49 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $36.31 | Facility | 26 · Professional part | $15.14 | $24.55 | $36.31 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $91.20 Typical High $128.82 | Facility | TC · Technical part | $19.50 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $489.78 | Professional | None (both parts) | $74.13 | $114.82 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $91.20 | Professional | 26 · Professional part | $16.60 | $26.92 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $398.11 | Professional | TC · Technical part | $53.70 | $91.20 | $398.11 |
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 $64.57 Median $87.10 Typical High $131.83 | Professional | None (both parts) | $64.57 | $87.10 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $16.60 | $19.50 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $67.61 | $102.33 |
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 $37.15 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $37.15 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $17.38 Typical High $19.05 | Professional | 53 · Discontinued | $14.79 | $17.38 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $69.18 Typical High $72.44 | Professional | FX · Film X-ray | $58.88 | $69.18 | $72.44 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 51st of 51
$74.13
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.