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 $39.81 Median $43.65 Typical High $109.65 | Facility | None | $39.81 | $43.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $39.81 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $21.38 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $19.95 | $21.88 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $43.65 | $67.61 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $30.90 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $33.11 | $38.90 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $77.62 Typical High $177.83 | Facility | None | $43.65 | $77.62 | $177.83 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | 26 · Professional part | $5.62 | $26.30 | $37.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.89 Median $27.54 Typical High $39.81 | Facility | TC · Technical part | $5.89 | $27.54 | $39.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $85.11 Typical High $436.52 | Professional | None (both parts) | $42.66 | $85.11 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $138.04 | Professional | 26 · Professional part | $20.89 | $36.31 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $50.12 Typical High $128.82 | Professional | TC · Technical part | $21.38 | $50.12 | $128.82 |
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 $42.66 Median $64.57 Typical High $87.10 | Professional | None (both parts) | $42.66 | $64.57 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $26.92 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.02 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $38.02 | $47.86 |
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 $19.95 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.94 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $31.62 | $34.67 | $34.67 |
Where Kentucky sits
The same service costs 4.5 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· 28th of 51
$67.61
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.