How much rates vary
Facilitymedian $34 · 10th to 90th $13 to $65Professionalmedian $32 · 10th to 90th $24 to $52
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 $30.90 Median $33.88 Typical High $53.70 | Facility | None | $30.90 | $33.88 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $12.88 | Facility | 26 · Professional part | $7.41 | $8.13 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $40.74 | Facility | TC · Technical part | $21.38 | $25.70 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $29.51 | $33.88 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.13 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $8.13 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $25.70 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $27.54 | $40.74 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $10.47 | $15.85 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $30.90 Typical High $37.15 | Professional | TC · Technical part | $28.84 | $30.90 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $44.67 | Professional | None (both parts) | $23.99 | $28.84 | $44.67 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $9.33 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | 50 · Both sides | $36.31 | $42.66 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $32.36 | Professional | TC · Technical part | $16.60 | $19.05 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $25.70 Typical High $43.65 | Facility | None | $7.94 | $25.70 | $43.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.76 Median $26.92 Typical High $42.66 | Professional | None (both parts) | $7.76 | $26.92 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $173.78 | Facility | None | $60.26 | $60.26 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.95 Median $11.75 Typical High $17.38 | Facility | 26 · Professional part | $2.95 | $11.75 | $17.38 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.92 Median $32.36 Typical High $45.71 | Facility | TC · Technical part | $6.92 | $32.36 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $47.86 Typical High $181.97 | Professional | None (both parts) | $29.51 | $47.86 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.88 Typical High $41.69 | Professional | 26 · Professional part | $7.94 | $12.88 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.88 Typical High $141.25 | Professional | TC · Technical part | $21.88 | $33.88 | $141.25 |
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 $26.30 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $26.30 | $33.88 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $9.12 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $24.55 | $36.31 |
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 $14.79 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $14.79 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $6.03 | $6.76 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $23.99 | $27.54 | $27.54 |
Where Kentucky sits
The same service costs 13.5 times more in Vermont 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· 48th of 51
$32.36
VT $389FL $28.84
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.