How much rates vary
Facilitymedian $316 · 10th to 90th $162 to $891Professionalmedian $417 · 10th to 90th $251 to $891
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 $302.00 Median $316.23 Typical High $1,174.90 | Facility | None | $302.00 | $316.23 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $190.55 | Facility | 26 · Professional part | $107.15 | $109.65 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $199.53 Typical High $1,000.00 | Facility | TC · Technical part | $194.98 | $199.53 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $302.00 | $354.81 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $190.55 | Professional | 26 · Professional part | $107.15 | $112.20 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $194.98 | $234.42 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $239.88 | $302.00 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $114.82 | $128.82 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $295.12 | $457.09 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $134.90 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $134.90 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $204.17 | $331.13 | $489.78 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $398.11 | Facility | None | $102.33 | $213.80 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $102.33 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $102.33 | $204.17 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $758.58 | Facility | None | $512.86 | $512.86 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $125.89 Typical High $177.83 | Facility | 26 · Professional part | $26.92 | $125.89 | $177.83 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $234.42 Typical High $331.13 | Facility | TC · Technical part | $50.12 | $234.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $954.99 Typical High $4,677.35 | Professional | None (both parts) | $269.15 | $954.99 | $4,677.35 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $177.83 Typical High $602.56 | Professional | 26 · Professional part | $93.33 | $177.83 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $758.58 Typical High $2,187.76 | Professional | TC · Technical part | $173.78 | $758.58 | $2,187.76 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $33.11 | $33.11 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $707.95 Typical High $1,047.13 | Professional | None (both parts) | $346.74 | $707.95 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $134.90 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $234.42 | $575.44 | $891.25 |
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 $151.36 Median $151.36 Typical High $346.74 | Professional | 52 · Reduced service | $151.36 | $151.36 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $141.25 | Professional | 53 · Discontinued | $60.26 | $61.66 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | FX · Film X-ray | $245.47 | $245.47 | $316.23 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | GC · Resident with teaching physician | $363.08 | $363.08 | $363.08 |
Where Kentucky sits
The same service costs 6.3 times more in Wyoming 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· 42nd of 51
$417
WY $1,288UT $204
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.