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 $97.72 Median $208.93 Typical High $229.09 | Facility | None | $97.72 | $208.93 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $234.42 | Professional | None (both parts) | $190.55 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $28.18 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $223.87 | Professional | TC · Technical part | $181.97 | $213.80 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $128.82 | $169.82 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $33.88 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $154.88 Typical High $190.55 | Professional | TC · Technical part | $81.28 | $154.88 | $190.55 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $45.71 Typical High $83.18 | Facility | None | $27.54 | $45.71 | $83.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $43.65 | Professional | None (both parts) | $27.54 | $37.15 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $128.82 Typical High $380.19 | Facility | None | $74.13 | $128.82 | $380.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $38.90 Typical High $58.88 | Facility | 26 · Professional part | $9.77 | $38.90 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $56.23 Typical High $79.43 | Facility | TC · Technical part | $12.02 | $56.23 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $389.05 | Professional | None (both parts) | $74.13 | $120.23 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $147.91 | Professional | 26 · Professional part | $28.18 | $46.77 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $77.62 Typical High $281.84 | Professional | TC · Technical part | $45.71 | $77.62 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $107.15 Typical High $346.74 | Professional | None (both parts) | $77.62 | $107.15 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $31.62 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $302.00 | Professional | TC · Technical part | $48.98 | $70.79 | $302.00 |
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 $95.50 Median $109.65 Typical High $117.49 | Professional | 52 · Reduced service | $95.50 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $46.77 | Professional | 53 · Discontinued | $38.02 | $43.65 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $177.83 Typical High $186.21 | Professional | FX · Film X-ray | $158.49 | $177.83 | $186.21 |
Where Kentucky sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 30th of 51
$170
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.