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 $57.54 Median $63.10 Typical High $104.71 | Facility | None | $57.54 | $63.10 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $102.33 | Professional | None (both parts) | $57.54 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $35.48 | Professional | 26 · Professional part | $26.30 | $28.84 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $30.90 | $33.88 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $51.29 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $107.15 | Professional | None (both parts) | $67.61 | $72.44 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $30.20 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $38.02 | $41.69 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $81.28 | Facility | None | $27.54 | $38.90 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $27.54 | $37.15 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $112.20 Typical High $213.80 | Facility | None | $89.13 | $112.20 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $35.48 Typical High $50.12 | Facility | 26 · Professional part | $7.59 | $35.48 | $50.12 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $42.66 Typical High $61.66 | Facility | TC · Technical part | $9.12 | $42.66 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $93.33 Typical High $416.87 | Professional | None (both parts) | $61.66 | $93.33 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $144.54 | Professional | 26 · Professional part | $28.18 | $38.02 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $57.54 Typical High $190.55 | Professional | TC · Technical part | $33.88 | $57.54 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.20 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $54.95 | $70.79 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $25.70 | $30.20 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $29.51 | $42.66 | $57.54 |
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 $28.84 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.84 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $45.71 Median $50.12 Typical High $51.29 | Professional | FX · Film X-ray | $45.71 | $50.12 | $51.29 |
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· 49th 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.