How much rates vary
Facilitymedian $89 · 10th to 90th $38 to $170Professionalmedian $95 · 10th to 90th $78 to $174
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 $81.28 Median $89.13 Typical High $120.23 | Facility | None | $81.28 | $89.13 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $81.28 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $25.12 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $64.57 | $91.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $158.49 | Professional | None (both parts) | $74.13 | $95.50 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | 26 · Professional part | $23.99 | $30.20 | $41.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $144.54 Typical High $239.88 | Professional | 50 · Both sides | $112.20 | $144.54 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $50.12 | $66.07 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $23.99 Median $63.10 Typical High $97.72 | Facility | None | $23.99 | $63.10 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $39.81 | Professional | None (both parts) | $23.99 | $33.88 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $154.88 Typical High $524.81 | Facility | None | $93.33 | $154.88 | $524.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $29.51 Typical High $42.66 | Facility | 26 · Professional part | $6.31 | $29.51 | $42.66 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $77.62 Typical High $109.65 | Facility | TC · Technical part | $16.60 | $77.62 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $478.63 | Professional | None (both parts) | $89.13 | $138.04 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $131.83 | Professional | 26 · Professional part | $24.55 | $40.74 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $346.74 | Professional | TC · Technical part | $66.07 | $100.00 | $346.74 |
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 $89.13 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $89.13 | $102.33 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $29.51 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $63.10 | $74.13 | $114.82 |
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 $40.74 Median $44.67 Typical High $60.26 | Professional | 52 · Reduced service | $40.74 | $44.67 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.78 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $17.78 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $72.44 Typical High $77.62 | Professional | FX · Film X-ray | $66.07 | $72.44 | $77.62 |
Where Kentucky sits
The same service costs 4.2 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
$95.50
AK $309UT $74.13
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.