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 $114.82 Median $125.89 Typical High $575.44 | Facility | None | $114.82 | $125.89 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $114.82 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $50.12 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $74.13 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $776.25 | Professional | None (both parts) | $131.83 | $229.09 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $63.10 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $147.91 Typical High $691.83 | Professional | TC · Technical part | $79.43 | $147.91 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $138.04 | Facility | None | $47.86 | $72.44 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $52.48 | $67.61 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $602.56 | Facility | None | $194.98 | $213.80 | $602.56 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $60.26 Typical High $87.10 | Facility | 26 · Professional part | $12.88 | $60.26 | $87.10 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $91.20 Typical High $128.82 | Facility | TC · Technical part | $19.50 | $91.20 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $371.54 Typical High $2,344.23 | Professional | None (both parts) | $123.03 | $371.54 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $269.15 | Professional | 26 · Professional part | $50.12 | $81.28 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $302.00 Typical High $812.83 | Professional | TC · Technical part | $72.44 | $302.00 | $812.83 |
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 $144.54 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $144.54 | $218.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $58.88 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $85.11 | $158.49 | $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 $57.54 Median $63.10 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $32.36 | Professional | 53 · Discontinued | $22.91 | $25.12 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $100.00 | $102.33 |
Where Kentucky sits
The same service costs 4.3 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· 22nd of 51
$214
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.