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 $75.86 Typical High $83.18 | Facility | None | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $72.44 | $83.18 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $17.78 Typical High $28.18 | Professional | 26 · Professional part | $16.22 | $17.78 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $64.57 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $69.18 Typical High $102.33 | Professional | None (both parts) | $58.88 | $69.18 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $28.84 | Professional | 26 · Professional part | $16.98 | $20.42 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $77.62 | Professional | TC · Technical part | $41.69 | $47.86 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $63.10 Typical High $97.72 | Facility | None | $16.60 | $63.10 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.98 Median $23.44 Typical High $27.54 | Professional | None (both parts) | $16.98 | $23.44 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $478.63 | Facility | None | $141.25 | $141.25 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $23.99 Typical High $36.31 | Facility | 26 · Professional part | $6.03 | $23.99 | $36.31 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | TC · Technical part | $16.98 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $114.82 Typical High $436.52 | Professional | None (both parts) | $74.13 | $114.82 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $91.20 | Professional | 26 · Professional part | $17.38 | $26.92 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $346.74 | Professional | TC · Technical part | $57.54 | $87.10 | $346.74 |
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 $83.18 Typical High $123.03 | Professional | None (both parts) | $64.57 | $83.18 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $16.98 | $19.50 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $63.10 | $95.50 |
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 $38.02 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $38.02 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.60 Typical High $18.62 | Professional | 53 · Discontinued | $15.14 | $16.60 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | FX · Film X-ray | $60.26 | $66.07 | $69.18 |
Where Kentucky sits
The same service costs 4.0 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· 47th of 51
$75.86
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.