How much rates vary
Facilitymedian $41 · 10th to 90th $20 to $74Professionalmedian $48 · 10th to 90th $35 to $81
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $37.15 Median $40.74 Typical High $58.88 | Facility | None | $37.15 | $40.74 | $58.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $20.89 | Facility | 26 · Professional part | $12.02 | $13.18 | $20.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $41.69 | Facility | TC · Technical part | $25.70 | $28.18 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $37.15 | $40.74 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $20.89 | Professional | 26 · Professional part | $12.02 | $13.18 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $42.66 | Professional | TC · Technical part | $25.70 | $28.18 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $12.59 | Professional | 26 · Professional part | $10.00 | $10.00 | $12.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $35.48 | $47.86 | $75.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $18.62 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $28.84 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $26.92 Typical High $44.67 | Facility | None | $12.30 | $26.92 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $16.22 Typical High $20.42 | Professional | None (both parts) | $12.30 | $16.22 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $213.80 | Facility | None | $69.18 | $69.18 | $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 $7.24 Median $33.11 Typical High $47.86 | Facility | TC · Technical part | $7.24 | $33.11 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $66.07 Typical High $229.09 | Professional | None (both parts) | $40.74 | $66.07 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $24.55 Typical High $81.28 | Professional | 26 · Professional part | $12.88 | $24.55 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $43.65 Typical High $147.91 | Professional | TC · Technical part | $27.54 | $43.65 | $147.91 |
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 $42.66 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $42.66 | $47.86 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $14.79 | $16.60 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $44.67 | Professional | TC · Technical part | $26.92 | $30.20 | $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 $18.62 Median $20.42 Typical High $26.92 | Professional | 52 · Reduced service | $18.62 | $20.42 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.13 Typical High $10.72 | Professional | 53 · Discontinued | $7.59 | $8.13 | $10.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $30.20 | $33.11 | $33.11 |
Where Kentucky sits
The same service costs 4.0 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· 38th of 51
$47.86
AK $132UT $33.11
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.