How much rates vary
Facilitymedian $35 · 10th to 90th $10 to $66Professionalmedian $32 · 10th to 90th $23 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 $25.12 Median $34.67 Typical High $53.70 | Facility | None | $25.12 | $34.67 | $53.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $6.46 Typical High $10.23 | Facility | 26 · Professional part | $5.89 | $6.46 | $10.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $28.18 Typical High $44.67 | Facility | TC · Technical part | $16.60 | $28.18 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $28.18 | $34.67 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.46 Typical High $11.75 | Professional | 26 · Professional part | $5.89 | $6.46 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $22.39 | $28.18 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $53.70 | Professional | None (both parts) | $32.36 | $44.67 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $5.25 | $8.13 | $8.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $34.67 | $40.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.30 Typical High $41.69 | Professional | None (both parts) | $22.91 | $26.30 | $41.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $6.61 Typical High $10.72 | Professional | 26 · Professional part | $5.50 | $6.61 | $10.72 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $33.88 Median $39.81 Typical High $61.66 | Professional | 50 · Both sides | $33.88 | $39.81 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $20.89 Typical High $30.90 | Professional | TC · Technical part | $15.85 | $20.89 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $6.31 Median $28.18 Typical High $44.67 | Facility | None | $6.31 | $28.18 | $44.67 |
CareSource Setting Professional Modifier None (both parts) Typical Low $6.17 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $6.17 | $29.51 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $173.78 | Facility | None | $61.66 | $61.66 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.24 Median $8.91 Typical High $13.49 | Facility | 26 · Professional part | $2.24 | $8.91 | $13.49 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $35.48 Typical High $51.29 | Facility | TC · Technical part | $7.59 | $35.48 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $42.66 Typical High $190.55 | Professional | None (both parts) | $27.54 | $42.66 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $33.88 | Professional | 26 · Professional part | $6.31 | $10.00 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $34.67 Typical High $158.49 | Professional | TC · Technical part | $19.50 | $34.67 | $158.49 |
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 $22.39 Median $32.36 Typical High $50.12 | Professional | None (both parts) | $22.39 | $32.36 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.24 Typical High $10.23 | Professional | 26 · Professional part | $5.75 | $7.24 | $10.23 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.12 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $25.12 | $39.81 |
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 $17.38 Typical High $18.62 | Professional | 52 · Reduced service | $14.79 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $7.41 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $27.54 Typical High $28.18 | Professional | FX · Film X-ray | $23.99 | $27.54 | $28.18 |
Where Kentucky sits
The same service costs 11.5 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 $339FL $29.51
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.