How much rates vary
Facilitymedian $100 · 10th to 90th $49 to $214Professionalmedian $138 · 10th to 90th $89 to $288
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $91.20 Median $100.00 Typical High $213.80 | Facility | None | $91.20 | $100.00 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $91.20 | $100.00 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $38.02 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $56.23 | $61.66 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $288.40 | Professional | None (both parts) | $100.00 | $138.04 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $37.15 | $45.71 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $91.20 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $151.36 | Facility | None | $37.15 | $63.10 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $37.15 | $50.12 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $501.19 | Facility | None | $102.33 | $177.83 | $501.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.23 Median $47.86 Typical High $67.61 | Facility | 26 · Professional part | $10.23 | $47.86 | $67.61 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $75.86 Typical High $109.65 | Facility | TC · Technical part | $16.22 | $75.86 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $199.53 Typical High $851.14 | Professional | None (both parts) | $100.00 | $199.53 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $63.10 Typical High $194.98 | Professional | 26 · Professional part | $38.02 | $63.10 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $147.91 Typical High $338.84 | Professional | TC · Technical part | $61.66 | $147.91 | $338.84 |
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 $95.50 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $95.50 | $141.25 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $42.66 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $91.20 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $91.20 | $147.91 |
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 $45.71 Median $50.12 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $26.30 | Professional | 53 · Discontinued | $18.20 | $19.95 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $72.44 | $79.43 | $83.18 |
Where Kentucky sits
The same service costs 4.3 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· 30th of 51
$138
AK $324UT $75.86
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.