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 $104.71 Median $128.82 Typical High $213.80 | Facility | None | $104.71 | $128.82 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $154.88 | Facility | TC · Technical part | $61.66 | $97.72 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $114.82 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $28.84 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $97.72 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $97.72 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $95.50 | $97.72 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $67.61 | $112.20 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $52.48 | Professional | 26 · Professional part | $28.18 | $35.48 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $75.86 Typical High $85.11 | Professional | TC · Technical part | $35.48 | $75.86 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $144.54 Typical High $229.09 | Facility | None | $30.20 | $144.54 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $30.20 | $151.36 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $575.44 | Facility | None | $190.55 | $190.55 | $575.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $37.15 Typical High $53.70 | Facility | 26 · Professional part | $7.94 | $37.15 | $53.70 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $95.50 Typical High $138.04 | Facility | TC · Technical part | $20.89 | $95.50 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $575.44 | Professional | None (both parts) | $114.82 | $177.83 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $165.96 | Professional | 26 · Professional part | $30.90 | $44.67 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $147.91 Typical High $426.58 | Professional | TC · Technical part | $75.86 | $147.91 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $109.65 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $35.48 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | TC · Technical part | $74.13 | $97.72 | $147.91 |
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 $54.95 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $95.50 | $102.33 | $102.33 |
Where Kentucky sits
The same service costs 4.9 times more in Wyoming 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· 48th of 51
$117
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.