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 $186.21 Median $234.42 Typical High $371.54 | Facility | None | $186.21 | $234.42 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $141.25 | Facility | 26 · Professional part | $69.18 | $75.86 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $316.23 | Facility | TC · Technical part | $79.43 | $158.49 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $204.17 | $234.42 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $114.82 | Professional | 26 · Professional part | $69.18 | $75.86 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $158.49 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $213.80 Typical High $281.84 | Professional | None (both parts) | $194.98 | $213.80 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $95.50 | $107.15 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,019.95 | Facility | None | $1,071.52 | $2,041.74 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $245.47 | Professional | None (both parts) | $173.78 | $199.53 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $91.20 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $107.15 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $173.78 Typical High $302.00 | Facility | None | $74.13 | $173.78 | $302.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $72.44 | $162.18 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,096.48 | Facility | None | $416.87 | $416.87 | $1,096.48 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $93.33 Typical High $131.83 | Facility | 26 · Professional part | $19.95 | $93.33 | $131.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $199.53 Typical High $281.84 | Facility | TC · Technical part | $42.66 | $199.53 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $1,258.93 | Professional | None (both parts) | $186.21 | $288.40 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $107.15 Typical High $398.11 | Professional | 26 · Professional part | $75.86 | $107.15 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $199.53 Typical High $891.25 | Professional | TC · Technical part | $91.20 | $199.53 | $891.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $33.11 | $33.11 | $53.70 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $354.81 | Professional | None (both parts) | $169.82 | $218.78 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $83.18 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $234.42 | Professional | TC · Technical part | $91.20 | $131.83 | $234.42 |
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 $100.00 Median $117.49 Typical High $123.03 | Professional | 52 · Reduced service | $100.00 | $117.49 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $46.77 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $46.77 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $194.98 | Professional | FX · Film X-ray | $173.78 | $190.55 | $194.98 |
Where Kentucky sits
The same service costs 5.0 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· 49th of 51
$204
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.