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 $114.82 Median $125.89 Typical High $229.09 | Facility | None | $114.82 | $125.89 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $114.82 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $75.86 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $42.66 | $46.77 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $295.12 | Professional | None (both parts) | $123.03 | $173.78 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $144.54 | Professional | TC · Technical part | $46.77 | $64.57 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $138.04 | Facility | None | $45.71 | $74.13 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $44.67 | $60.26 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $213.80 Typical High $380.19 | Facility | None | $123.03 | $213.80 | $380.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $93.33 Typical High $131.83 | Facility | 26 · Professional part | $19.95 | $93.33 | $131.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.30 Median $57.54 Typical High $83.18 | Facility | TC · Technical part | $12.30 | $57.54 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $123.03 | $323.59 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $190.55 Typical High $478.63 | Professional | 26 · Professional part | $75.86 | $190.55 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $141.25 Typical High $257.04 | Professional | TC · Technical part | $45.71 | $141.25 | $257.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $134.90 | Professional | None (both parts) | $33.11 | $33.11 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $131.83 | $173.78 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $102.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $70.79 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $70.79 | $93.33 |
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 $57.54 Median $61.66 Typical High $81.28 | Professional | 52 · Reduced service | $57.54 | $61.66 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $33.11 | Professional | 53 · Discontinued | $22.91 | $25.12 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $91.20 | $95.50 | $100.00 |
Where Kentucky sits
The same service costs 5.6 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· 29th of 51
$174
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.