How much rates vary
Facilitymedian $339 · 10th to 90th $166 to $891Professionalmedian $513 · 10th to 90th $282 to $912
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 $316.23 Median $338.84 Typical High $1,122.02 | Facility | None | $316.23 | $338.84 | $1,122.02 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $102.33 Median $104.71 Typical High $162.18 | Facility | 26 · Professional part | $102.33 | $104.71 | $162.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $1,000.00 | Facility | TC · Technical part | $213.80 | $218.78 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $316.23 | $371.54 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $107.15 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $257.04 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $457.09 | Professional | None (both parts) | $389.05 | $389.05 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $389.05 | $524.81 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $120.23 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $398.11 Typical High $512.86 | Professional | TC · Technical part | $295.12 | $398.11 | $512.86 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $234.42 Typical High $416.87 | Facility | None | $97.72 | $234.42 | $416.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $97.72 Median $223.87 Typical High $389.05 | Professional | None (both parts) | $97.72 | $223.87 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $831.76 | Facility | None | $537.03 | $537.03 | $831.76 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $120.23 Typical High $173.78 | Facility | 26 · Professional part | $25.70 | $120.23 | $173.78 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $251.19 Typical High $363.08 | Facility | TC · Technical part | $54.95 | $251.19 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $977.24 Typical High $4,570.88 | Professional | None (both parts) | $281.84 | $977.24 | $4,570.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $162.18 Typical High $537.03 | Professional | 26 · Professional part | $89.13 | $162.18 | $537.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $776.25 Typical High $2,398.83 | Professional | TC · Technical part | $190.55 | $776.25 | $2,398.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $33.11 | $33.11 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $776.25 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $97.72 | $120.23 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $660.69 Typical High $891.25 | Professional | TC · Technical part | $263.03 | $660.69 | $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 $158.49 Median $158.49 Typical High $346.74 | Professional | 52 · Reduced service | $158.49 | $158.49 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $64.57 Typical High $141.25 | Professional | 53 · Discontinued | $63.10 | $64.57 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $257.04 Typical High $323.59 | Professional | FX · Film X-ray | $251.19 | $257.04 | $323.59 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | GC · Resident with teaching physician | $380.19 | $380.19 | $380.19 |
Where Kentucky sits
The same service costs 5.8 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· 33rd of 51
$513
WY $1,349UT $234
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.