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 $363.08 Median $398.11 Typical High $741.31 | Facility | None | $363.08 | $398.11 | $741.31 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $79.43 Median $81.28 Typical High $134.90 | Facility | 26 · Professional part | $79.43 | $81.28 | $134.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $323.59 Typical High $630.96 | Facility | TC · Technical part | $263.03 | $323.59 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $380.19 | $426.58 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $81.28 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $316.23 | $354.81 | $660.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $316.23 | $501.19 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $97.72 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $371.54 | $416.87 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $87.10 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $302.00 | $338.84 | $501.19 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $316.23 Typical High $512.86 | Facility | None | $77.62 | $316.23 | $512.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $338.84 Typical High $512.86 | Professional | None (both parts) | $77.62 | $338.84 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $1,258.93 | Facility | None | $691.83 | $691.83 | $1,258.93 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $95.50 Typical High $138.04 | Facility | 26 · Professional part | $20.42 | $95.50 | $138.04 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $562.34 | Facility | TC · Technical part | $83.18 | $389.05 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $891.25 Typical High $2,137.96 | Professional | None (both parts) | $398.11 | $891.25 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $151.36 Typical High $398.11 | Professional | 26 · Professional part | $77.62 | $151.36 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $741.31 Typical High $1,737.80 | Professional | TC · Technical part | $323.59 | $741.31 | $1,737.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $436.52 | Professional | None (both parts) | $33.11 | $33.11 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $398.11 | $501.19 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $70.79 | $83.18 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $323.59 | $416.87 | $588.84 |
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 $181.97 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $181.97 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $79.43 Typical High $112.20 | Professional | 53 · Discontinued | $72.44 | $79.43 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $323.59 | $338.84 |
Where Kentucky sits
The same service costs 4.6 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· 47th of 51
$437
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.