How much rates vary
Facilitymedian $182 · 10th to 90th $105 to $589Professionalmedian $251 · 10th to 90th $148 to $550
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 $181.97 Median $190.55 Typical High $776.25 | Facility | None | $181.97 | $190.55 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $109.65 | Facility | 26 · Professional part | $69.18 | $69.18 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $501.19 | Facility | TC · Technical part | $112.20 | $112.20 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $602.56 | Professional | None (both parts) | $181.97 | $213.80 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $69.18 | $74.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $457.09 | Professional | TC · Technical part | $112.20 | $134.90 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $151.36 | $177.83 | $263.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $181.97 | $331.13 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $66.07 | $81.28 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $123.03 | $223.87 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $141.25 Typical High $275.42 | Facility | None | $66.07 | $141.25 | $275.42 |
CareSource Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $64.57 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $416.87 Typical High $436.52 | Facility | None | $288.40 | $416.87 | $436.52 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $17.38 Median $81.28 Typical High $114.82 | Facility | 26 · Professional part | $17.38 | $81.28 | $114.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $245.47 Typical High $346.74 | Facility | TC · Technical part | $52.48 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $549.54 Typical High $2,398.83 | Professional | None (both parts) | $162.18 | $549.54 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $354.81 | Professional | 26 · Professional part | $60.26 | $114.82 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $426.58 Typical High $1,479.11 | Professional | TC · Technical part | $100.00 | $426.58 | $1,479.11 |
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 $208.93 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $208.93 | $457.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $109.65 | Professional | 26 · Professional part | $64.57 | $79.43 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $389.05 Typical High $489.78 | Professional | TC · Technical part | $131.83 | $389.05 | $489.78 |
4 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 $91.20 Median $91.20 Typical High $295.12 | Professional | 52 · Reduced service | $91.20 | $91.20 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $120.23 | Professional | 53 · Discontinued | $36.31 | $36.31 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $147.91 Typical High $295.12 | Professional | FX · Film X-ray | $144.54 | $147.91 | $295.12 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | GC · Resident with teaching physician | $218.78 | $218.78 | $218.78 |
Where Kentucky sits
The same service costs 24.0 times more in Vermont 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· 41st of 51
$251
VT $2,951UT $123
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.