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 $128.82 Median $141.25 Typical High $575.44 | Facility | None | $128.82 | $141.25 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $316.23 | Professional | None (both parts) | $128.82 | $141.25 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $79.43 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $204.17 | Professional | TC · Technical part | $54.95 | $63.10 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $60.26 | $79.43 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $776.25 | Professional | None (both parts) | $141.25 | $239.88 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $61.66 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $691.83 | Professional | TC · Technical part | $79.43 | $158.49 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $177.83 | Facility | None | $58.88 | $87.10 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $57.54 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $489.78 | Facility | None | $158.49 | $245.47 | $489.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $138.04 | Facility | 26 · Professional part | $20.42 | $95.50 | $138.04 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $74.13 Typical High $107.15 | Facility | TC · Technical part | $16.22 | $74.13 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $407.38 Typical High $2,344.23 | Professional | None (both parts) | $138.04 | $407.38 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $97.72 Typical High $389.05 | Professional | 26 · Professional part | $64.57 | $97.72 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $288.40 Typical High $812.83 | Professional | TC · Technical part | $60.26 | $288.40 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $162.18 | $239.88 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $70.79 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $165.96 Typical High $426.58 | Professional | TC · Technical part | $74.13 | $165.96 | $426.58 |
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 $64.57 Median $69.18 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $69.18 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $28.18 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $112.20 Typical High $114.82 | Professional | FX · Film X-ray | $102.33 | $112.20 | $114.82 |
Where Kentucky sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 33rd of 51
$195
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.