How much rates vary
Facilitymedian $39 · 10th to 90th $16 to $71Professionalmedian $37 · 10th to 90th $30 to $62
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 $35.48 Median $38.90 Typical High $60.26 | Facility | None | $35.48 | $38.90 | $60.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $11.75 Typical High $18.62 | Facility | 26 · Professional part | $10.72 | $11.75 | $18.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $51.29 | Facility | TC · Technical part | $24.55 | $26.92 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $35.48 | $38.90 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $11.75 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $24.55 | $26.92 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $14.79 | $14.79 | $14.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $30.20 | $35.48 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $16.60 | Professional | 26 · Professional part | $9.12 | $11.22 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $37.15 | Professional | TC · Technical part | $21.38 | $25.70 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $29.51 Typical High $50.12 | Facility | None | $11.48 | $29.51 | $50.12 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $11.22 | $28.18 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $213.80 | Facility | None | $69.18 | $69.18 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.09 Median $14.45 Typical High $20.89 | Facility | 26 · Professional part | $3.09 | $14.45 | $20.89 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.24 Median $33.88 Typical High $47.86 | Facility | TC · Technical part | $7.24 | $33.88 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $58.88 Typical High $208.93 | Professional | None (both parts) | $37.15 | $58.88 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.38 Typical High $60.26 | Professional | 26 · Professional part | $10.96 | $17.38 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $151.36 | Professional | TC · Technical part | $26.30 | $41.69 | $151.36 |
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 $33.11 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $33.11 | $40.74 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $12.30 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $23.44 | $28.84 | $39.81 |
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 $17.38 Median $19.50 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $19.50 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.76 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.76 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $30.90 Typical High $31.62 | Professional | FX · Film X-ray | $27.54 | $30.90 | $31.62 |
Where Kentucky sits
The same service costs 3.7 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.
Kentucky· 47th of 51
$37.15
AK $123UT $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.