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 $295.12 Median $954.99 Typical High $954.99 | Facility | None | $295.12 | $954.99 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $954.99 Typical High $1,318.26 | Professional | None (both parts) | $870.96 | $954.99 | $1,318.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $85.11 | $95.50 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $851.14 Typical High $1,174.90 | Professional | TC · Technical part | $776.25 | $851.14 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $776.25 Typical High $977.24 | Professional | None (both parts) | $380.19 | $776.25 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $117.49 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $645.65 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $645.65 | $891.25 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $831.76 Typical High $1,318.26 | Facility | None | $91.20 | $831.76 | $1,318.26 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $97.72 | $125.89 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $3,388.44 | Facility | None | $1,659.59 | $1,659.59 | $3,388.44 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $112.20 Typical High $162.18 | Facility | 26 · Professional part | $23.99 | $112.20 | $162.18 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $1,047.13 Typical High $1,513.56 | Facility | TC · Technical part | $223.87 | $1,047.13 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $1,698.24 Typical High $5,128.61 | Professional | None (both parts) | $537.03 | $1,698.24 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $199.53 Typical High $489.78 | Professional | 26 · Professional part | $91.20 | $199.53 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,548.82 Typical High $4,677.35 | Professional | TC · Technical part | $426.58 | $1,548.82 | $4,677.35 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,000.00 Typical High $1,513.56 | Professional | None (both parts) | $524.81 | $1,000.00 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $93.33 | $109.65 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $891.25 Typical High $1,380.38 | Professional | TC · Technical part | $398.11 | $891.25 | $1,380.38 |
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 $436.52 Median $478.63 Typical High $660.69 | Professional | 52 · Reduced service | $436.52 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $263.03 | Professional | 53 · Discontinued | $173.78 | $190.55 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $758.58 Median $758.58 Typical High $794.33 | Professional | FX · Film X-ray | $758.58 | $758.58 | $794.33 |
Where Kentucky sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 50th of 51
$794
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.