How much rates vary
Facilitymedian $68 · 10th to 90th $44 to $138Professionalmedian $42 · 10th to 90th $16 to $288
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 $24.55 Median $33.88 Typical High $33.88 | Facility | None | $24.55 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | None (both parts) | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.55 Typical High $11.48 | Professional | 26 · Professional part | $9.33 | $9.55 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $24.55 Typical High $33.11 | Professional | TC · Technical part | $23.99 | $24.55 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $28.84 | $28.84 | $57.54 |
BCBS Setting Facility Modifier None Typical Low $51.29 Median $72.44 Typical High $102.33 | Facility | None | $51.29 | $72.44 | $102.33 |
BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $40.74 Typical High $56.23 | Professional | None (both parts) | $12.02 | $40.74 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $138.04 | Facility | None | $42.66 | $79.43 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.02 Typical High $58.88 | Professional | None (both parts) | $35.48 | $38.02 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $10.00 | $10.47 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $42.66 | Professional | TC · Technical part | $25.12 | $27.54 | $42.66 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $52.48 Typical High $109.65 | Facility | None | $35.48 | $52.48 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $54.95 Typical High $288.40 | Professional | None (both parts) | $38.02 | $54.95 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $10.23 | $107.15 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $69.18 Typical High $269.15 | Professional | TC · Technical part | $26.92 | $69.18 | $269.15 |
United Setting Facility Modifier None Typical Low $45.71 Median $169.82 Typical High $269.15 | Facility | None | $45.71 | $169.82 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $61.66 | Professional | None (both parts) | $34.67 | $41.69 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.02 Typical High $16.60 | Professional | 26 · Professional part | $10.00 | $12.02 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $43.65 | Professional | TC · Technical part | $24.55 | $29.51 | $43.65 |
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 $16.98 Median $16.98 Typical High $22.39 | Professional | 52 · Reduced service | $16.98 | $16.98 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.76 | $6.76 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | FX · Film X-ray | $26.92 | $26.92 | $29.51 |
Where Oklahoma 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.
Oklahoma· 45th of 51
$42.66
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.