How much rates vary
Facilitymedian $29 · 10th to 90th $12 to $55Professionalmedian $28 · 10th to 90th $19 to $45
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 $26.30 Median $28.84 Typical High $46.77 | Facility | None | $26.30 | $28.84 | $46.77 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $14.13 | Facility | 26 · Professional part | $7.08 | $7.76 | $14.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $20.89 Typical High $33.11 | Facility | TC · Technical part | $19.05 | $20.89 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.84 Typical High $53.70 | Professional | None (both parts) | $25.12 | $28.84 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $7.76 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $20.89 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $24.55 | $28.84 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $10.96 | Professional | 26 · Professional part | $9.33 | $9.77 | $10.96 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $18.62 | $25.70 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $8.51 | $12.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $30.20 Median $38.02 Typical High $60.26 | Professional | 50 · Both sides | $30.20 | $38.02 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $27.54 | Professional | TC · Technical part | $13.49 | $16.98 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $20.89 Typical High $37.15 | Facility | None | $7.59 | $20.89 | $37.15 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $21.88 Typical High $35.48 | Professional | None (both parts) | $7.41 | $21.88 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $169.82 | Facility | None | $50.12 | $50.12 | $169.82 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.04 Median $9.55 Typical High $13.49 | Facility | 26 · Professional part | $2.04 | $9.55 | $13.49 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.50 Median $25.70 Typical High $36.31 | Facility | TC · Technical part | $5.50 | $25.70 | $36.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $151.36 | Professional | None (both parts) | $26.92 | $40.74 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.59 Typical High $39.81 | Professional | 26 · Professional part | $7.59 | $12.59 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $112.20 | Professional | TC · Technical part | $18.62 | $29.51 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $31.62 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $42.66 | Professional | None (both parts) | $23.44 | $28.84 | $42.66 |
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 $16.60 Median $20.42 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $20.42 | $30.90 |
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 $12.88 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $12.88 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $5.13 | $5.75 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $22.91 Typical High $23.44 | Professional | FX · Film X-ray | $20.42 | $22.91 | $23.44 |
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· 49th of 51
$28.18
AK $91.20FL $24.55
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.