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 $831.76 Median $912.01 Typical High $1,047.13 | Facility | None | $831.76 | $912.01 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $912.01 Typical High $1,071.52 | Professional | None (both parts) | $794.33 | $912.01 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $69.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,023.29 | Professional | TC · Technical part | $724.44 | $851.14 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $549.54 Typical High $1,445.44 | Professional | None (both parts) | $426.58 | $549.54 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $72.44 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $1,348.96 | Professional | TC · Technical part | $371.54 | $478.63 | $1,348.96 |
CareSource Setting Facility Modifier None Typical Low $67.61 Median $870.96 Typical High $1,621.81 | Facility | None | $67.61 | $870.96 | $1,621.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $66.07 | $93.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,023.29 Typical High $1,698.24 | Facility | None | $912.01 | $1,023.29 | $1,698.24 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $147.91 Typical High $213.80 | Facility | 26 · Professional part | $32.36 | $147.91 | $213.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $660.69 Typical High $954.99 | Facility | TC · Technical part | $141.25 | $660.69 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,230.27 Typical High $4,265.80 | Professional | None (both parts) | $891.25 | $1,230.27 | $4,265.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $616.60 | Professional | 26 · Professional part | $67.61 | $104.71 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,174.90 Typical High $3,162.28 | Professional | TC · Technical part | $812.83 | $1,174.90 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $891.25 | Professional | None (both parts) | $33.11 | $33.11 | $891.25 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $933.25 Typical High $1,380.38 | Professional | None (both parts) | $812.83 | $933.25 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $57.54 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $870.96 Typical High $1,288.25 | Professional | TC · Technical part | $758.58 | $870.96 | $1,288.25 |
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 $389.05 Median $457.09 Typical High $524.81 | Professional | 52 · Reduced service | $389.05 | $457.09 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $181.97 Typical High $208.93 | Professional | 53 · Discontinued | $158.49 | $181.97 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $630.96 Median $691.83 Typical High $741.31 | Professional | FX · Film X-ray | $630.96 | $691.83 | $741.31 |
Where Kentucky sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 41st of 51
$759
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.