How much rates vary
Facilitymedian $31 · 10th to 90th $12 to $59Professionalmedian $30 · 10th to 90th $22 to $48
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 $28.18 Median $30.90 Typical High $52.48 | Facility | None | $28.18 | $30.90 | $52.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $14.45 | Facility | 26 · Professional part | $7.08 | $7.76 | $14.45 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $36.31 | Facility | TC · Technical part | $19.95 | $22.91 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $54.95 | Professional | None (both parts) | $27.54 | $30.90 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $7.76 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $22.91 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $31.62 Typical High $34.67 | Professional | None (both parts) | $25.12 | $31.62 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $11.22 | Professional | 26 · Professional part | $9.77 | $10.00 | $11.22 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $40.74 | Professional | None (both parts) | $22.91 | $26.92 | $40.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $8.51 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $34.67 Median $40.74 Typical High $61.66 | Professional | 50 · Both sides | $34.67 | $40.74 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $17.78 Typical High $27.54 | Professional | TC · Technical part | $15.49 | $17.78 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $22.91 Typical High $39.81 | Facility | None | $7.59 | $22.91 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $23.99 Typical High $38.02 | Professional | None (both parts) | $7.41 | $23.99 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $173.78 | Facility | None | $54.95 | $54.95 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.09 Median $9.77 Typical High $14.13 | Facility | 26 · Professional part | $2.09 | $9.77 | $14.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.03 Median $28.18 Typical High $40.74 | Facility | TC · Technical part | $6.03 | $28.18 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $44.67 Typical High $165.96 | Professional | None (both parts) | $28.18 | $44.67 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.59 Typical High $41.69 | Professional | 26 · Professional part | $7.59 | $12.59 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $125.89 | Professional | TC · Technical part | $19.95 | $30.90 | $125.89 |
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 $24.55 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $24.55 | $32.36 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $12.30 | Professional | 26 · Professional part | $7.24 | $8.71 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $22.91 | $33.88 |
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 $14.13 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $24.55 Typical High $25.12 | Professional | FX · Film X-ray | $22.39 | $24.55 | $25.12 |
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· 50th of 51
$29.51
AK $100FL $26.92
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.