How much rates vary
Facilitymedian $41 · 10th to 90th $17 to $78Professionalmedian $44 · 10th to 90th $33 to $76
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 $37.15 Median $40.74 Typical High $60.26 | Facility | None | $37.15 | $40.74 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $43.65 | Facility | TC · Technical part | $26.92 | $29.51 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $67.61 | Professional | None (both parts) | $37.15 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $9.77 | $11.48 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $29.51 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None (both parts) | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $43.65 Typical High $67.61 | Professional | None (both parts) | $32.36 | $43.65 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $11.75 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $31.62 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $28.84 Typical High $44.67 | Facility | None | $10.96 | $28.84 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.75 Median $15.49 Typical High $18.20 | Professional | None (both parts) | $11.75 | $15.49 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $213.80 | Facility | None | $70.79 | $70.79 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.88 Median $13.49 Typical High $19.05 | Facility | 26 · Professional part | $2.88 | $13.49 | $19.05 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $35.48 Typical High $51.29 | Facility | TC · Technical part | $7.59 | $35.48 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $213.80 | Professional | None (both parts) | $39.81 | $60.26 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.60 Typical High $54.95 | Professional | 26 · Professional part | $11.22 | $16.60 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $46.77 Typical High $158.49 | Professional | TC · Technical part | $28.84 | $46.77 | $158.49 |
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 $38.90 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $38.90 | $44.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $11.75 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $45.71 | Professional | TC · Technical part | $28.18 | $32.36 | $45.71 |
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 $18.62 Median $20.42 Typical High $25.70 | Professional | 52 · Reduced service | $18.62 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $7.41 | $8.13 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | FX · Film X-ray | $30.20 | $33.11 | $33.11 |
Where Kentucky sits
The same service costs 3.9 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· 44th of 51
$43.65
AK $129UT $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.