How much rates vary
Facilitymedian $115 · 10th to 90th $40 to $209Professionalmedian $98 · 10th to 90th $81 to $178
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 $97.72 Median $109.65 Typical High $120.23 | Facility | None | $97.72 | $109.65 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $97.72 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $23.44 | $25.70 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $93.33 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $81.28 | $93.33 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $141.25 Typical High $199.53 | Professional | 50 · Both sides | $123.03 | $141.25 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $64.57 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $64.57 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $91.20 Typical High $141.25 | Facility | None | $25.12 | $91.20 | $141.25 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $27.54 | $35.48 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $707.95 | Facility | None | $208.93 | $208.93 | $707.95 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.12 Median $36.31 Typical High $54.95 | Facility | 26 · Professional part | $9.12 | $36.31 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $114.82 Typical High $165.96 | Facility | TC · Technical part | $24.55 | $114.82 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $645.65 | Professional | None (both parts) | $102.33 | $154.88 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $131.83 | Professional | 26 · Professional part | $25.70 | $40.74 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $120.23 Typical High $512.86 | Professional | TC · Technical part | $72.44 | $120.23 | $512.86 |
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 $83.18 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $83.18 | $114.82 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $24.55 | $28.84 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $60.26 | $85.11 | $134.90 |
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 $51.29 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $23.99 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $95.50 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $95.50 | $100.00 |
Where Kentucky sits
The same service costs 4.2 times more in Alaska than in New York. 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· 49th of 51
$97.72
AK $398NY $95.50
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.