How much rates vary
Facilitymedian $102 · 10th to 90th $51 to $372Professionalmedian $135 · 10th to 90th $87 to $501
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 $93.33 Median $102.33 Typical High $371.54 | Facility | None | $93.33 | $102.33 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $93.33 | $102.33 | $141.25 |
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 $58.88 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $63.10 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $134.90 Typical High $501.19 | Professional | None (both parts) | $89.13 | $134.90 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $35.48 | $45.71 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $436.52 | Professional | TC · Technical part | $48.98 | $77.62 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $112.20 | Facility | None | $37.15 | $63.10 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $39.81 | $51.29 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $194.98 Typical High $524.81 | Facility | None | $165.96 | $194.98 | $524.81 |
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 $19.05 Median $89.13 Typical High $125.89 | Facility | TC · Technical part | $19.05 | $89.13 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $251.19 Typical High $1,479.11 | Professional | None (both parts) | $100.00 | $251.19 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $194.98 | Professional | 26 · Professional part | $38.02 | $60.26 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $63.10 | $213.80 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $323.59 | Professional | None (both parts) | $97.72 | $138.04 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $43.65 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $269.15 | Professional | TC · Technical part | $58.88 | $89.13 | $269.15 |
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 $46.77 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $46.77 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $26.92 | Professional | 53 · Discontinued | $18.62 | $20.42 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | FX · Film X-ray | $74.13 | $81.28 | $85.11 |
Where Kentucky sits
The same service costs 4.0 times more in Alaska than in Florida. 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· 36th of 51
$135
AK $339FL $85.11
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.