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 $48.98 Median $52.48 Typical High $141.25 | Facility | None | $48.98 | $52.48 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $107.15 | Professional | None (both parts) | $48.98 | $52.48 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $33.88 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $19.05 Typical High $54.95 | Professional | TC · Technical part | $17.38 | $19.05 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $81.28 | $100.00 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $53.70 | $72.44 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $151.36 Typical High $218.78 | Professional | 50 · Both sides | $120.23 | $151.36 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $45.71 Typical High $74.13 | Professional | TC · Technical part | $36.31 | $45.71 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $194.98 | Facility | None | $50.12 | $93.33 | $194.98 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $40.74 Typical High $58.88 | Facility | 26 · Professional part | $8.71 | $40.74 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.25 Median $24.55 Typical High $34.67 | Facility | TC · Technical part | $5.25 | $24.55 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $123.03 Typical High $562.34 | Professional | None (both parts) | $52.48 | $123.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $239.88 | Professional | 26 · Professional part | $33.11 | $58.88 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $60.26 Typical High $154.88 | Professional | TC · Technical part | $19.50 | $60.26 | $154.88 |
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 $56.23 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $56.23 | $95.50 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $46.77 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $42.66 | $66.07 |
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 $23.99 Median $26.30 Typical High $26.92 | Professional | 52 · Reduced service | $23.99 | $26.30 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $9.77 | $10.72 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | FX · Film X-ray | $38.90 | $42.66 | $42.66 |
Where Kentucky sits
The same service costs 3.8 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· 16th of 51
$97.72
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.