How much rates vary
Facilitymedian $302 · 10th to 90th $110 to $851Professionalmedian $398 · 10th to 90th $282 to $708
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 $295.12 Median $295.12 Typical High $891.25 | Facility | None | $295.12 | $295.12 | $891.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $446.68 | Facility | TC · Technical part | $223.87 | $229.09 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $295.12 | $309.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $70.79 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $70.79 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $234.42 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $234.42 | $501.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $489.78 | Professional | None (both parts) | $281.84 | $380.19 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $77.62 | $97.72 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $309.03 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $63.10 Median $234.42 Typical High $389.05 | Facility | None | $63.10 | $234.42 | $389.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $63.10 | $87.10 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $954.99 | Facility | None | $489.78 | $489.78 | $954.99 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | 26 · Professional part | $16.98 | $79.43 | $112.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $263.03 Typical High $380.19 | Facility | TC · Technical part | $57.54 | $263.03 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $2,137.96 | Professional | None (both parts) | $281.84 | $630.96 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $338.84 | Professional | 26 · Professional part | $58.88 | $112.20 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $512.86 Typical High $1,737.80 | Professional | TC · Technical part | $218.78 | $512.86 | $1,737.80 |
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 $371.54 Median $512.86 Typical High $676.08 | Professional | None (both parts) | $371.54 | $512.86 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $77.62 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $562.34 | Professional | TC · Technical part | $302.00 | $436.52 | $562.34 |
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 $147.91 Median $147.91 Typical High $269.15 | Professional | 52 · Reduced service | $147.91 | $147.91 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $107.15 | Professional | 53 · Discontinued | $58.88 | $58.88 | $107.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $295.12 | Professional | FX · Film X-ray | $234.42 | $234.42 | $295.12 |
Where Kentucky sits
The same service costs 6.3 times more in Wyoming 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· 42nd of 51
$398
WY $1,349UT $214
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.