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 $83.18 Median $91.20 Typical High $177.83 | Facility | None | $83.18 | $91.20 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $151.36 | Facility | TC · Technical part | $64.57 | $77.62 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $81.28 | $91.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $77.62 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $17.78 | $17.78 | $17.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $63.10 | $77.62 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $14.79 | $17.78 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $58.88 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $74.13 Typical High $117.49 | Facility | None | $14.45 | $74.13 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.49 Median $19.95 Typical High $23.44 | Professional | None (both parts) | $15.49 | $19.95 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $478.63 | Facility | None | $165.96 | $165.96 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $21.38 Typical High $31.62 | Facility | 26 · Professional part | $13.18 | $21.38 | $31.62 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $97.72 Typical High $141.25 | Facility | TC · Technical part | $20.89 | $97.72 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $512.86 | Professional | None (both parts) | $81.28 | $125.89 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.44 Typical High $79.43 | Professional | 26 · Professional part | $14.79 | $23.44 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $436.52 | Professional | TC · Technical part | $69.18 | $107.15 | $436.52 |
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 $74.13 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $74.13 | $93.33 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.98 Typical High $25.12 | Professional | 26 · Professional part | $14.79 | $16.98 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $75.86 | $112.20 |
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 $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $74.13 Typical High $75.86 | Professional | FX · Film X-ray | $67.61 | $74.13 | $75.86 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in New York. 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· 49th of 51
$83.18
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.