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 $117.49 Median $128.82 Typical High $602.56 | Facility | None | $117.49 | $128.82 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $117.49 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $58.88 | $64.57 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $812.83 | Professional | None (both parts) | $134.90 | $234.42 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $60.26 | $79.43 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $128.82 Typical High $691.83 | Professional | TC · Technical part | $72.44 | $128.82 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $141.25 | Facility | None | $52.48 | $69.18 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $97.72 | Professional | None (both parts) | $56.23 | $79.43 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $218.78 Typical High $524.81 | Facility | None | $128.82 | $218.78 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $75.86 Typical High $107.15 | Facility | 26 · Professional part | $16.22 | $75.86 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $77.62 Typical High $112.20 | Facility | TC · Technical part | $16.60 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $380.19 Typical High $2,398.83 | Professional | None (both parts) | $125.89 | $380.19 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $338.84 | Professional | 26 · Professional part | $61.66 | $102.33 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $63.10 | $269.15 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $33.11 | $33.11 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $147.91 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $72.44 | $104.71 |
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 $58.88 Median $64.57 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $25.70 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $93.33 | $102.33 | $102.33 |
Where Kentucky sits
The same service costs 4.7 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· 21st 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.