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 $109.65 Median $120.23 Typical High $588.84 | Facility | None | $109.65 | $120.23 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $109.65 | $120.23 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $57.54 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $63.10 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $794.33 | Professional | None (both parts) | $128.82 | $223.87 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $56.23 | $72.44 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $691.83 | Professional | TC · Technical part | $70.79 | $128.82 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $63.10 Typical High $131.83 | Facility | None | $50.12 | $63.10 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $53.70 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $53.70 | $74.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $208.93 Typical High $512.86 | Facility | None | $120.23 | $208.93 | $512.86 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $69.18 Typical High $100.00 | Facility | 26 · Professional part | $14.79 | $69.18 | $100.00 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $75.86 Typical High $107.15 | Facility | TC · Technical part | $16.22 | $75.86 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $407.38 Typical High $2,344.23 | Professional | None (both parts) | $120.23 | $407.38 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $309.03 | Professional | 26 · Professional part | $57.54 | $93.33 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $61.66 | $269.15 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $512.86 | Professional | None (both parts) | $141.25 | $213.80 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $66.07 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $77.62 | $144.54 | $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 $54.95 Median $60.26 Typical High $79.43 | Professional | 52 · Reduced service | $54.95 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $31.62 | Professional | 53 · Discontinued | $21.88 | $23.99 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $89.13 | $97.72 | $97.72 |
Where Kentucky sits
The same service costs 5.4 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· 21st of 51
$209
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.