How much rates vary
Facilitymedian $74 · 10th to 90th $38 to $129Professionalmedian $81 · 10th to 90th $65 to $158
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 $69.18 Median $74.13 Typical High $117.49 | Facility | None | $69.18 | $74.13 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $104.71 | Professional | None (both parts) | $69.18 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $22.91 | $24.55 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $50.12 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $64.57 | $81.28 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $25.70 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $97.72 Median $123.03 Typical High $234.42 | Professional | 50 · Both sides | $97.72 | $123.03 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $52.48 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $52.48 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $47.86 Typical High $81.28 | Facility | None | $23.99 | $47.86 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $23.99 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $407.38 | Facility | None | $128.82 | $128.82 | $407.38 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $29.51 Typical High $42.66 | Facility | 26 · Professional part | $6.31 | $29.51 | $42.66 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.88 Median $60.26 Typical High $85.11 | Facility | TC · Technical part | $12.88 | $60.26 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $131.83 Typical High $467.74 | Professional | None (both parts) | $74.13 | $131.83 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $128.82 | Professional | 26 · Professional part | $24.55 | $42.66 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $263.03 | Professional | TC · Technical part | $50.12 | $89.13 | $263.03 |
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 $74.13 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $74.13 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $28.18 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $87.10 | Professional | TC · Technical part | $48.98 | $58.88 | $87.10 |
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 $34.67 Median $37.15 Typical High $52.48 | Professional | 52 · Reduced service | $34.67 | $37.15 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $20.89 | Professional | 53 · Discontinued | $13.80 | $15.14 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | FX · Film X-ray | $54.95 | $60.26 | $61.66 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 47th of 51
$81.28
AK $251FL $67.61
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.