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 $501.19 Median $524.81 Typical High $524.81 | Facility | None | $501.19 | $524.81 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $676.08 | Professional | None (both parts) | $478.63 | $524.81 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $295.12 Typical High $389.05 | Professional | 26 · Professional part | $269.15 | $295.12 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $229.09 Typical High $288.40 | Professional | TC · Technical part | $208.93 | $229.09 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $416.87 | $478.63 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $245.47 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $154.88 | $169.82 | $275.42 |
CareSource Setting Facility Modifier None Typical Low $223.87 Median $288.40 Typical High $575.44 | Facility | None | $223.87 | $288.40 | $575.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $213.80 | $295.12 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $954.99 | Facility | None | $524.81 | $912.01 | $954.99 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $354.81 Typical High $512.86 | Facility | 26 · Professional part | $75.86 | $354.81 | $512.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $281.84 Typical High $398.11 | Facility | TC · Technical part | $60.26 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $933.25 Typical High $2,691.53 | Professional | None (both parts) | $512.86 | $933.25 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $549.54 Typical High $1,445.44 | Professional | 26 · Professional part | $288.40 | $549.54 | $1,445.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $380.19 Typical High $1,230.27 | Professional | TC · Technical part | $181.97 | $380.19 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $575.44 | Professional | None (both parts) | $33.11 | $33.11 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $416.87 | $524.81 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $309.03 Typical High $446.68 | Professional | 26 · Professional part | $263.03 | $309.03 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $208.93 | $338.84 |
4 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 $239.88 Median $263.03 Typical High $338.84 | Professional | 52 · Reduced service | $239.88 | $263.03 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $134.90 | Professional | 53 · Discontinued | $95.50 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $363.08 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $331.13 | $363.08 | $467.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $398.11 | $416.87 | $416.87 |
Where Kentucky sits
The same service costs 5.6 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· 46th of 51
$501
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.