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 $218.78 Median $562.34 Typical High $575.44 | Facility | None | $218.78 | $562.34 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $512.86 | $562.34 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $81.28 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $489.78 Typical High $691.83 | Professional | TC · Technical part | $446.68 | $489.78 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $288.40 | $354.81 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $117.49 | Professional | 26 · Professional part | $70.79 | $83.18 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $169.82 | $281.84 | $416.87 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $478.63 Typical High $741.31 | Facility | None | $74.13 | $478.63 | $741.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $77.62 | $104.71 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,949.84 | Facility | None | $1,148.15 | $1,148.15 | $1,949.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $102.33 Typical High $147.91 | Facility | 26 · Professional part | $21.88 | $102.33 | $147.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $707.95 Typical High $1,000.00 | Facility | TC · Technical part | $151.36 | $707.95 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $977.24 Typical High $3,548.13 | Professional | None (both parts) | $316.23 | $977.24 | $3,548.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $158.49 Typical High $426.58 | Professional | 26 · Professional part | $79.43 | $158.49 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $891.25 Typical High $3,090.30 | Professional | TC · Technical part | $218.78 | $891.25 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $724.44 | Professional | None (both parts) | $33.11 | $33.11 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $295.12 | $501.19 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $72.44 | $87.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $416.87 Typical High $758.58 | Professional | TC · Technical part | $194.98 | $416.87 | $758.58 |
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 $257.04 Median $281.84 Typical High $398.11 | Professional | 52 · Reduced service | $257.04 | $281.84 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $112.20 Typical High $158.49 | Professional | 53 · Discontinued | $102.33 | $112.20 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | FX · Film X-ray | $446.68 | $457.09 | $457.09 |
Where Kentucky sits
The same service costs 6.0 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
$457
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.