How much rates vary
Facilitymedian $30 · 10th to 90th $11 to $58Professionalmedian $27 · 10th to 90th $20 to $44
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 $27.54 Median $30.20 Typical High $56.23 | Facility | None | $27.54 | $30.20 | $56.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $41.69 | Facility | TC · Technical part | $16.60 | $21.88 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.20 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.88 Typical High $30.20 | Professional | TC · Technical part | $18.62 | $21.88 | $30.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $10.47 | $10.47 | $10.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.12 Typical High $36.31 | Professional | None (both parts) | $21.38 | $25.12 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $13.18 | Professional | 26 · Professional part | $7.59 | $9.33 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $38.02 Typical High $54.95 | Professional | 50 · Both sides | $32.36 | $38.02 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $16.22 Typical High $23.99 | Professional | TC · Technical part | $14.45 | $16.22 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $21.38 Typical High $38.90 | Facility | None | $8.13 | $21.38 | $38.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $22.91 Typical High $37.15 | Professional | None (both parts) | $8.13 | $22.91 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $173.78 | Facility | None | $52.48 | $52.48 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.19 Median $10.23 Typical High $14.79 | Facility | 26 · Professional part | $2.19 | $10.23 | $14.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.62 Median $26.30 Typical High $37.15 | Facility | TC · Technical part | $5.62 | $26.30 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $42.66 Typical High $158.49 | Professional | None (both parts) | $26.30 | $42.66 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.59 Typical High $41.69 | Professional | 26 · Professional part | $8.13 | $12.59 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $28.18 Typical High $114.82 | Professional | TC · Technical part | $18.62 | $28.18 | $114.82 |
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 $23.44 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $23.44 | $30.20 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $8.71 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $15.49 | $20.89 | $30.90 |
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 $13.18 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $13.18 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $23.99 Typical High $23.99 | Professional | FX · Film X-ray | $21.38 | $23.99 | $23.99 |
Where Kentucky sits
The same service costs 4.1 times more in Alaska than in New York. 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· 49th of 51
$26.92
AK $95.50NY $23.44
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.