How much rates vary
Facilitymedian $48 · 10th to 90th $17 to $95Professionalmedian $48 · 10th to 90th $36 to $85
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 $44.67 Median $47.86 Typical High $72.44 | Facility | None | $44.67 | $47.86 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $15.85 | Facility | 26 · Professional part | $10.23 | $11.22 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $70.79 | Facility | TC · Technical part | $33.88 | $37.15 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $43.65 | $47.86 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $11.22 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | 26 · Professional part | $8.71 | $8.71 | $8.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $36.31 | $45.71 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $10.47 | $12.88 | $18.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $26.92 | $32.36 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $36.31 Typical High $56.23 | Facility | None | $10.47 | $36.31 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.72 Median $14.45 Typical High $16.98 | Professional | None (both parts) | $10.72 | $14.45 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $173.78 | Facility | None | $85.11 | $85.11 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.80 Median $15.49 Typical High $22.91 | Facility | 26 · Professional part | $3.80 | $15.49 | $22.91 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | TC · Technical part | $9.77 | $45.71 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $70.79 Typical High $257.04 | Professional | None (both parts) | $44.67 | $70.79 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $54.95 | Professional | 26 · Professional part | $10.96 | $17.78 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $204.17 | Professional | TC · Technical part | $33.88 | $53.70 | $204.17 |
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 $40.74 Median $51.29 Typical High $72.44 | Professional | None (both parts) | $40.74 | $51.29 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.59 Typical High $18.20 | Professional | 26 · Professional part | $10.47 | $12.59 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $28.84 | $37.15 | $54.95 |
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 $21.88 Median $23.99 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $23.99 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.77 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | FX · Film X-ray | $35.48 | $38.90 | $38.90 |
Where Kentucky sits
The same service costs 4.5 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· 45th of 51
$47.86
AK $148UT $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.