How much rates vary
Facilitymedian $44 · 10th to 90th $20 to $83Professionalmedian $43 · 10th to 90th $21 to $72
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 $39.81 Median $43.65 Typical High $63.10 | Facility | None | $39.81 | $43.65 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $39.81 | $43.65 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $18.20 | Professional | 26 · Professional part | $12.02 | $13.18 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $30.90 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 26 · Professional part | $10.00 | $10.00 | $10.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $21.38 | $41.69 | $64.57 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $20.42 | Professional | 26 · Professional part | $11.75 | $14.79 | $20.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $27.54 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $27.54 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $29.51 Typical High $47.86 | Facility | None | $12.30 | $29.51 | $47.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $16.98 Typical High $19.95 | Professional | None (both parts) | $12.30 | $16.98 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $213.80 | Facility | None | $74.13 | $74.13 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.31 Median $15.49 Typical High $21.88 | Facility | 26 · Professional part | $3.31 | $15.49 | $21.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $37.15 Typical High $52.48 | Facility | TC · Technical part | $7.94 | $37.15 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $64.57 Typical High $223.87 | Professional | None (both parts) | $41.69 | $64.57 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.42 Typical High $64.57 | Professional | 26 · Professional part | $12.88 | $20.42 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $162.18 | Professional | TC · Technical part | $28.84 | $45.71 | $162.18 |
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 $38.02 Median $46.77 Typical High $66.07 | Professional | None (both parts) | $38.02 | $46.77 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $12.02 | $14.45 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $44.67 | Professional | TC · Technical part | $25.70 | $31.62 | $44.67 |
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 $19.95 Median $21.88 Typical High $24.55 | Professional | 52 · Reduced service | $19.95 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.71 Typical High $9.77 | Professional | 53 · Discontinued | $7.94 | $8.71 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $34.67 Typical High $35.48 | Professional | FX · Film X-ray | $31.62 | $34.67 | $35.48 |
Where Kentucky sits
The same service costs 4.1 times more in Alaska than in Utah. 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
$42.66
AK $132UT $32.36
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.