How much rates vary
Facilitymedian $49 · 10th to 90th $19 to $93Professionalmedian $49 · 10th to 90th $35 to $85
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 $44.67 Median $48.98 Typical High $89.13 | Facility | None | $44.67 | $48.98 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $22.91 | Facility | 26 · Professional part | $11.75 | $12.88 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $61.66 | Facility | TC · Technical part | $33.88 | $36.31 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $50.12 Typical High $95.50 | Professional | None (both parts) | $44.67 | $50.12 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.88 Typical High $23.44 | Professional | 26 · Professional part | $11.75 | $12.88 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $70.79 | Professional | TC · Technical part | $33.11 | $36.31 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $75.86 | Professional | None (both parts) | $33.88 | $50.12 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $10.23 | $15.85 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $44.67 | $44.67 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $35.48 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $16.22 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $23.99 | $32.36 | $50.12 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $36.31 Typical High $63.10 | Facility | None | $12.30 | $36.31 | $63.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.30 Median $38.02 Typical High $61.66 | Professional | None (both parts) | $12.30 | $38.02 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $213.80 | Facility | None | $87.10 | $87.10 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.31 Median $15.49 Typical High $21.88 | Facility | 26 · Professional part | $3.31 | $15.49 | $21.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | TC · Technical part | $9.77 | $45.71 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $70.79 Typical High $263.03 | Professional | None (both parts) | $47.86 | $70.79 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $21.88 Typical High $75.86 | Professional | 26 · Professional part | $12.30 | $21.88 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $51.29 Typical High $204.17 | Professional | TC · Technical part | $34.67 | $51.29 | $204.17 |
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 $43.65 Median $51.29 Typical High $74.13 | Professional | None (both parts) | $43.65 | $51.29 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $13.18 | $15.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $37.15 | $51.29 |
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 $21.88 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $9.77 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $39.81 Typical High $39.81 | Professional | FX · Film X-ray | $34.67 | $39.81 | $39.81 |
Where Kentucky sits
The same service costs 4.8 times more in Alaska 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· 46th of 51
$48.98
AK $158UT $33.11
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.