How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $91.20 Median $100.00 Typical High $158.49 | Facility | None | $91.20 | $100.00 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $41.69 | Facility | 26 · Professional part | $23.99 | $26.30 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $144.54 | Facility | TC · Technical part | $57.54 | $74.13 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $91.20 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $26.30 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $67.61 | $74.13 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $85.11 | $100.00 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $27.54 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $89.13 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $28.84 | $42.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $85.11 | Professional | TC · Technical part | $58.88 | $72.44 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $72.44 Typical High $128.82 | Facility | None | $25.12 | $72.44 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $25.12 | $75.86 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $288.40 | Facility | None | $173.78 | $173.78 | $288.40 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $30.90 Typical High $44.67 | Facility | 26 · Professional part | $6.76 | $30.90 | $44.67 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $89.13 Typical High $128.82 | Facility | TC · Technical part | $19.05 | $89.13 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $524.81 | Professional | None (both parts) | $87.10 | $131.83 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $131.83 | Professional | 26 · Professional part | $25.12 | $35.48 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $398.11 | Professional | TC · Technical part | $63.10 | $97.72 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $85.11 | $107.15 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $25.12 | $28.18 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $81.28 | $109.65 |
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 $45.71 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $45.71 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $18.20 | $19.95 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | FX · Film X-ray | $72.44 | $79.43 | $81.28 |
Where Kentucky sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 48th 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.