How much rates vary
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 $39.81 Median $43.65 Typical High $69.18 | Facility | None | $39.81 | $43.65 | $69.18 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $16.60 | Facility | 26 · Professional part | $9.55 | $10.47 | $16.60 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $52.48 | Facility | TC · Technical part | $30.20 | $33.11 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $38.02 | $43.65 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.47 Typical High $17.38 | Professional | 26 · Professional part | $9.55 | $10.47 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $28.18 | $33.11 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $66.07 | Professional | None (both parts) | $36.31 | $47.86 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $10.96 | $14.45 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $18.62 | $26.92 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $32.36 | $33.88 | $50.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.00 Typical High $12.88 | Professional | 26 · Professional part | $9.33 | $10.00 | $12.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $22.91 | $23.99 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $33.11 Typical High $56.23 | Facility | None | $10.00 | $33.11 | $56.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.00 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $10.00 | $34.67 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $173.78 | Facility | None | $77.62 | $77.62 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.63 Median $14.45 Typical High $21.38 | Facility | 26 · Professional part | $3.63 | $14.45 | $21.38 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $8.91 Median $41.69 Typical High $58.88 | Facility | TC · Technical part | $8.91 | $41.69 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $234.42 | Professional | None (both parts) | $39.81 | $57.54 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $51.29 | Professional | 26 · Professional part | $10.23 | $15.85 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $42.66 Typical High $181.97 | Professional | TC · Technical part | $29.51 | $42.66 | $181.97 |
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 $37.15 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $37.15 | $41.69 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $17.38 | Professional | 26 · Professional part | $10.47 | $11.75 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $47.86 | Professional | TC · Technical part | $26.92 | $29.51 | $47.86 |
1 more rate 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 FX · Film X-ray Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | FX · Film X-ray | $30.90 | $34.67 | $35.48 |
Where Kentucky sits
The same service costs 11.7 times more in Vermont than in Utah. 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
$40.74
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.