How much rates vary
Facilitymedian $78 · 10th to 90th $21 to $224Professionalmedian $186 · 10th to 90th $49 to $309
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 $57.54 Median $208.93 Typical High $223.87 | Facility | None | $57.54 | $208.93 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $190.55 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $12.02 | $14.13 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $213.80 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $213.80 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $75.86 | $186.21 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $15.85 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $52.48 | $169.82 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $30.20 Typical High $50.12 | Facility | None | $13.18 | $30.20 | $50.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.49 Median $18.62 Typical High $22.39 | Professional | None (both parts) | $13.49 | $18.62 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $77.62 Typical High $257.04 | Facility | None | $44.67 | $77.62 | $257.04 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.55 Median $16.60 Typical High $23.99 | Facility | 26 · Professional part | $3.55 | $16.60 | $23.99 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $37.15 Typical High $53.70 | Facility | TC · Technical part | $7.94 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $69.18 Typical High $524.81 | Professional | None (both parts) | $44.67 | $69.18 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.39 Typical High $72.44 | Professional | 26 · Professional part | $13.80 | $22.39 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $501.19 | Professional | TC · Technical part | $30.90 | $51.29 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.78 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $17.78 | $33.11 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $63.10 Typical High $338.84 | Professional | None (both parts) | $45.71 | $63.10 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $22.91 | Professional | 26 · Professional part | $12.88 | $15.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $316.23 | Professional | TC · Technical part | $32.36 | $45.71 | $316.23 |
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 $95.50 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $95.50 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $38.02 | $43.65 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $177.83 Typical High $181.97 | Professional | FX · Film X-ray | $154.88 | $177.83 | $181.97 |
Where Kentucky sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 23rd of 51
$186
CO $316MI $47.86
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.