How much rates vary
Facilitymedian $20 · 10th to 90th $10 to $35Professionalmedian $23 · 10th to 90th $16 to $39
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 $18.20 Median $19.95 Typical High $28.18 | Facility | None | $18.20 | $19.95 | $28.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $20.42 Typical High $38.02 | Professional | None (both parts) | $18.20 | $20.42 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.24 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $7.24 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $13.18 Typical High $24.55 | Professional | TC · Technical part | $11.75 | $13.18 | $24.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | None (both parts) | $14.45 | $14.45 | $26.92 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $8.91 | $8.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.44 Typical High $38.02 | Professional | None (both parts) | $17.78 | $23.44 | $38.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $8.32 | $11.48 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $26.92 Median $35.48 Typical High $57.54 | Professional | 50 · Both sides | $26.92 | $35.48 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $15.49 Typical High $26.30 | Professional | TC · Technical part | $11.75 | $15.49 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $14.13 Typical High $25.70 | Facility | None | $6.92 | $14.13 | $25.70 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.92 Median $13.49 Typical High $24.55 | Professional | None (both parts) | $6.92 | $13.49 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $34.67 Typical High $104.71 | Facility | None | $33.88 | $34.67 | $104.71 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.86 Median $8.71 Typical High $12.30 | Facility | 26 · Professional part | $1.86 | $8.71 | $12.30 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $3.39 Median $15.49 Typical High $22.39 | Facility | TC · Technical part | $3.39 | $15.49 | $22.39 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $32.36 Typical High $112.20 | Professional | None (both parts) | $19.50 | $32.36 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.48 Typical High $36.31 | Professional | 26 · Professional part | $7.08 | $11.48 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $21.88 Typical High $69.18 | Professional | TC · Technical part | $12.59 | $21.88 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $21.88 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $23.44 Typical High $33.11 | Professional | None (both parts) | $20.42 | $23.44 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $7.94 | $11.48 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.14 Typical High $22.39 | Professional | TC · Technical part | $13.18 | $15.14 | $22.39 |
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 $9.12 Median $10.00 Typical High $12.88 | Professional | 52 · Reduced service | $9.12 | $10.00 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.98 Typical High $5.13 | Professional | 53 · Discontinued | $3.63 | $3.98 | $5.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.79 Median $15.85 Typical High $16.22 | Professional | FX · Film X-ray | $14.79 | $15.85 | $16.22 |
Where Kentucky sits
The same service costs 3.7 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· 41st of 51
$22.91
AK $64.57FL $17.38
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.