How much rates vary
Facilitymedian $302 · 10th to 90th $162 to $891Professionalmedian $417 · 10th to 90th $251 to $891
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 $302.00 Median $316.23 Typical High $1,148.15 | Facility | None | $302.00 | $316.23 | $1,148.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $169.82 | Facility | 26 · Professional part | $107.15 | $107.15 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $1,000.00 | Facility | TC · Technical part | $194.98 | $194.98 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $302.00 | $354.81 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $107.15 | $112.20 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $229.09 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $295.12 | $467.74 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $100.00 | $125.89 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $323.59 Typical High $489.78 | Professional | TC · Technical part | $199.53 | $323.59 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $208.93 Typical High $457.09 | Facility | None | $102.33 | $208.93 | $457.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $102.33 | $204.17 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $512.86 Typical High $758.58 | Facility | None | $501.19 | $512.86 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $125.89 Typical High $177.83 | Facility | 26 · Professional part | $26.92 | $125.89 | $177.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $229.09 Typical High $331.13 | Facility | TC · Technical part | $48.98 | $229.09 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,000.00 Typical High $4,570.88 | Professional | None (both parts) | $269.15 | $1,000.00 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $177.83 Typical High $562.34 | Professional | 26 · Professional part | $93.33 | $177.83 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $776.25 Typical High $2,398.83 | Professional | TC · Technical part | $173.78 | $776.25 | $2,398.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $104.71 | Professional | None (both parts) | $33.11 | $33.11 | $104.71 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $346.74 | $758.58 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $102.33 | $125.89 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $630.96 Typical High $891.25 | Professional | TC · Technical part | $234.42 | $630.96 | $891.25 |
4 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 $151.36 Median $151.36 Typical High $346.74 | Professional | 52 · Reduced service | $151.36 | $151.36 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | 53 · Discontinued | $60.26 | $60.26 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $245.47 Typical High $316.23 | Professional | FX · Film X-ray | $239.88 | $245.47 | $316.23 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | GC · Resident with teaching physician | $363.08 | $363.08 | $363.08 |
Where Kentucky sits
The same service costs 6.6 times more in Vermont 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· 43rd of 51
$407
VT $1,349UT $204
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.