How much rates vary
Facilitymedian $56 · 10th to 90th $19 to $110Professionalmedian $62 · 10th to 90th $44 to $105
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 $51.29 Median $56.23 Typical High $83.18 | Facility | None | $51.29 | $56.23 | $83.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $22.91 | Facility | 26 · Professional part | $13.18 | $14.45 | $22.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $79.43 | Facility | TC · Technical part | $38.02 | $41.69 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $107.15 | Professional | None (both parts) | $51.29 | $56.23 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $23.44 | Professional | 26 · Professional part | $13.18 | $14.45 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $42.66 Typical High $81.28 | Professional | TC · Technical part | $38.02 | $42.66 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $35.48 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $61.66 Typical High $93.33 | Professional | None (both parts) | $47.86 | $61.66 | $93.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $19.05 | $28.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $43.65 | $66.07 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $41.69 Typical High $72.44 | Facility | None | $13.80 | $41.69 | $72.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $13.80 | $43.65 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $213.80 | Facility | None | $97.72 | $97.72 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $4.79 Median $19.50 Typical High $28.84 | Facility | 26 · Professional part | $4.79 | $19.50 | $28.84 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.96 Median $51.29 Typical High $74.13 | Facility | TC · Technical part | $10.96 | $51.29 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $89.13 Typical High $295.12 | Professional | None (both parts) | $54.95 | $89.13 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $24.55 Typical High $89.13 | Professional | 26 · Professional part | $13.80 | $24.55 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $67.61 Typical High $229.09 | Professional | TC · Technical part | $40.74 | $67.61 | $229.09 |
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 $54.95 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $54.95 | $67.61 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.62 Typical High $25.12 | Professional | 26 · Professional part | $15.49 | $18.62 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $39.81 | $48.98 | $66.07 |
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 $25.70 Median $28.18 Typical High $35.48 | Professional | 52 · Reduced service | $25.70 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $14.13 | Professional | 53 · Discontinued | $10.23 | $11.22 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $44.67 Typical High $47.86 | Professional | FX · Film X-ray | $40.74 | $44.67 | $47.86 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$61.66
AK $182TX $50.12
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.