How much rates vary
Facilitymedian $36 · 10th to 90th $16 to $69Professionalmedian $36 · 10th to 90th $17 to $58
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 $33.11 Median $36.31 Typical High $57.54 | Facility | None | $33.11 | $36.31 | $57.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $16.60 | Facility | 26 · Professional part | $9.55 | $10.47 | $16.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $48.98 | Facility | TC · Technical part | $23.44 | $25.70 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $37.15 Typical High $69.18 | Professional | None (both parts) | $33.11 | $37.15 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $9.55 | $10.47 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $23.44 | $26.92 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $54.95 | Professional | None (both parts) | $26.30 | $38.02 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $12.88 | Professional | 26 · Professional part | $8.32 | $12.88 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $14.45 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.38 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $17.38 | $35.48 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $11.48 | $17.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $37.15 | Professional | TC · Technical part | $19.95 | $23.99 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $25.12 Typical High $46.77 | Facility | None | $10.00 | $25.12 | $46.77 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.00 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $10.00 | $26.92 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $208.93 | Facility | None | $64.57 | $64.57 | $208.93 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.69 Median $12.59 Typical High $18.20 | Facility | 26 · Professional part | $2.69 | $12.59 | $18.20 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.92 Median $32.36 Typical High $46.77 | Facility | TC · Technical part | $6.92 | $32.36 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $53.70 Typical High $194.98 | Professional | None (both parts) | $35.48 | $53.70 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.60 Typical High $53.70 | Professional | 26 · Professional part | $10.23 | $16.60 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $144.54 | Professional | TC · Technical part | $25.12 | $39.81 | $144.54 |
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 $32.36 Median $38.90 Typical High $54.95 | Professional | None (both parts) | $32.36 | $38.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $11.48 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $27.54 Typical High $38.02 | Professional | TC · Technical part | $22.91 | $27.54 | $38.02 |
5 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 $16.60 Median $18.20 Typical High $20.42 | Professional | 52 · Reduced service | $16.60 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $6.61 | $7.24 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $28.84 Typical High $29.51 | Professional | FX · Film X-ray | $26.30 | $28.84 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 59 · Distinct service | $37.15 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | GC · Resident with teaching physician | $45.71 | $45.71 | $45.71 |
Where Kentucky sits
The same service costs 12.6 times more in Vermont than in Florida. 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· 47th of 51
$36.31
VT $389FL $30.90
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.