How much rates vary
Facilitymedian $29 · 10th to 90th $17 to $52Professionalmedian $26 · 10th to 90th $13 to $44
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 $26.30 Median $28.84 Typical High $46.77 | Facility | None | $26.30 | $28.84 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $14.79 | Facility | 26 · Professional part | $7.76 | $8.51 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $32.36 | Facility | TC · Technical part | $16.60 | $20.42 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $25.12 | $28.84 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $14.13 | Professional | 26 · Professional part | $7.41 | $8.51 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $38.02 | Professional | TC · Technical part | $17.38 | $20.42 | $38.02 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.42 Typical High $22.91 | Professional | None (both parts) | $20.42 | $20.42 | $22.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $10.47 | Professional | 26 · Professional part | $8.91 | $10.47 | $10.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $13.18 Median $23.99 Typical High $36.31 | Professional | None (both parts) | $13.18 | $23.99 | $36.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $9.12 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.49 Typical High $24.55 | Professional | TC · Technical part | $14.79 | $15.49 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $8.32 Median $22.39 Typical High $37.15 | Facility | None | $8.32 | $22.39 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $8.13 Median $21.38 Typical High $35.48 | Professional | None (both parts) | $8.13 | $21.38 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $165.96 | Facility | None | $48.98 | $48.98 | $165.96 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.19 Median $10.23 Typical High $14.79 | Facility | 26 · Professional part | $2.19 | $10.23 | $14.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.25 Median $24.55 Typical High $34.67 | Facility | TC · Technical part | $5.25 | $24.55 | $34.67 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $41.69 Typical High $151.36 | Professional | None (both parts) | $25.70 | $41.69 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $41.69 | Professional | 26 · Professional part | $8.32 | $12.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $27.54 Typical High $107.15 | Professional | TC · Technical part | $18.20 | $27.54 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.84 Typical High $43.65 | Professional | None (both parts) | $22.91 | $28.84 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $13.49 | Professional | 26 · Professional part | $7.59 | $9.12 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.95 Typical High $29.51 | Professional | TC · Technical part | $14.79 | $19.95 | $29.51 |
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 $13.18 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $13.18 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.25 | $5.75 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | FX · Film X-ray | $20.89 | $22.91 | $23.44 |
Where Kentucky sits
The same service costs 4.3 times more in Alaska than in New York. 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· 49th of 51
$26.92
AK $93.33NY $21.88
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.