How much rates vary
Facilitymedian $18 · 10th to 90th $8 to $35Professionalmedian $22 · 10th to 90th $11 to $48
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 $16.22 Median $17.78 Typical High $35.48 | Facility | None | $16.22 | $17.78 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $7.41 Median $8.13 Typical High $23.44 | Facility | TC · Technical part | $7.41 | $8.13 | $23.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $17.78 Typical High $32.36 | Professional | None (both parts) | $16.22 | $17.78 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $8.71 | $9.77 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.13 Typical High $16.22 | Professional | TC · Technical part | $7.24 | $8.13 | $16.22 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 26 · Professional part | $12.02 | $12.02 | $12.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.48 Median $22.39 Typical High $47.86 | Professional | None (both parts) | $11.48 | $22.39 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $9.33 | $11.48 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $10.96 Typical High $32.36 | Professional | TC · Technical part | $8.13 | $10.96 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $10.72 Typical High $22.91 | Facility | None | $7.76 | $10.72 | $22.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.59 Median $11.22 Typical High $21.88 | Professional | None (both parts) | $7.59 | $11.22 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $31.62 Typical High $66.07 | Facility | None | $20.89 | $31.62 | $66.07 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.51 Median $11.75 Typical High $16.98 | Facility | 26 · Professional part | $2.51 | $11.75 | $16.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $2.19 Median $10.23 Typical High $14.45 | Facility | TC · Technical part | $2.19 | $10.23 | $14.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $35.48 Typical High $141.25 | Professional | None (both parts) | $16.98 | $35.48 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.85 Typical High $47.86 | Professional | 26 · Professional part | $9.33 | $15.85 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $18.20 Typical High $45.71 | Professional | TC · Technical part | $7.59 | $18.20 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $19.95 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.91 Typical High $36.31 | Professional | None (both parts) | $19.05 | $22.91 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $9.12 | $10.72 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $11.22 Typical High $20.42 | Professional | TC · Technical part | $8.32 | $11.22 | $20.42 |
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 $7.94 Median $8.71 Typical High $10.96 | Professional | 52 · Reduced service | $7.94 | $8.71 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.47 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $3.47 | $4.37 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $13.80 Typical High $14.13 | Professional | FX · Film X-ray | $12.88 | $13.80 | $14.13 |
Where Kentucky sits
The same service costs 3.6 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· 38th of 51
$21.88
AK $56.23FL $15.49
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.