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 $446.68 Median $457.09 Typical High $1,412.54 | Facility | None | $446.68 | $457.09 | $1,412.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $389.05 | Facility | 26 · Professional part | $218.78 | $218.78 | $389.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $1,122.02 | Facility | TC · Technical part | $229.09 | $234.42 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $436.52 | $501.19 | $1,000.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $218.78 Typical High $398.11 | Professional | 26 · Professional part | $199.53 | $218.78 | $398.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $223.87 | $257.04 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $173.78 | $269.15 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $602.56 Typical High $1,905.46 | Professional | None (both parts) | $389.05 | $602.56 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $257.04 Typical High $346.74 | Professional | 26 · Professional part | $208.93 | $257.04 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $1,548.82 | Professional | TC · Technical part | $204.17 | $346.74 | $1,548.82 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $295.12 Typical High $588.84 | Facility | None | $208.93 | $295.12 | $588.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $218.78 | $295.12 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $912.01 | Facility | None | $602.56 | $776.25 | $912.01 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $263.03 Typical High $380.19 | Facility | 26 · Professional part | $56.23 | $263.03 | $380.19 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $407.38 | Facility | TC · Technical part | $60.26 | $281.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $1,584.89 Typical High $5,623.41 | Professional | None (both parts) | $436.52 | $1,584.89 | $5,623.41 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $436.52 Typical High $1,096.48 | Professional | 26 · Professional part | $213.80 | $436.52 | $1,096.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $1,288.25 Typical High $1,819.70 | Professional | TC · Technical part | $223.87 | $1,288.25 | $1,819.70 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $489.78 | Professional | None (both parts) | $33.11 | $33.11 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $1,122.02 | Professional | None (both parts) | $478.63 | $602.56 | $1,122.02 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $245.47 Typical High $338.84 | Professional | 26 · Professional part | $208.93 | $245.47 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $346.74 | $812.83 |
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 $204.17 Median $223.87 Typical High $295.12 | Professional | 52 · Reduced service | $204.17 | $223.87 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $117.49 | Professional | 53 · Discontinued | $81.28 | $91.20 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $363.08 Typical High $363.08 | Professional | FX · Film X-ray | $346.74 | $363.08 | $363.08 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska 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· 38th of 51
$575
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.