How much rates vary
Facilitymedian $31 · 10th to 90th $19 to $59Professionalmedian $31 · 10th to 90th $23 to $51
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 $28.18 Median $30.90 Typical High $48.98 | Facility | None | $28.18 | $30.90 | $48.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $12.30 | Facility | 26 · Professional part | $7.08 | $7.76 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $36.31 | Facility | TC · Technical part | $21.38 | $23.44 | $36.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $27.54 | $30.90 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.76 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $7.76 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $23.44 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $46.77 | Professional | None (both parts) | $25.70 | $38.90 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $9.77 | $12.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $39.81 Typical High $70.79 | Professional | 50 · Both sides | $39.81 | $39.81 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $27.54 Typical High $43.65 | Professional | None (both parts) | $23.99 | $27.54 | $43.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $13.80 | Professional | 26 · Professional part | $7.08 | $9.33 | $13.80 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $40.74 Typical High $64.57 | Professional | 50 · Both sides | $35.48 | $40.74 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $16.98 | $23.44 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $25.12 Typical High $39.81 | Facility | None | $7.59 | $25.12 | $39.81 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.41 Median $24.55 Typical High $38.90 | Professional | None (both parts) | $7.41 | $24.55 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $173.78 | Facility | None | $54.95 | $54.95 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $2.69 Median $10.72 Typical High $16.22 | Facility | 26 · Professional part | $2.69 | $10.72 | $16.22 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.17 Median $28.84 Typical High $40.74 | Facility | TC · Technical part | $6.17 | $28.84 | $40.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $44.67 Typical High $165.96 | Professional | None (both parts) | $28.84 | $44.67 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $43.65 | Professional | 26 · Professional part | $7.59 | $12.88 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $125.89 | Professional | TC · Technical part | $19.95 | $32.36 | $125.89 |
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 $25.70 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $25.70 | $32.36 | $47.86 |
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 $17.38 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $17.38 | $21.88 | $35.48 |
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 $14.13 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.61 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $25.12 Typical High $25.70 | Professional | FX · Film X-ray | $22.39 | $25.12 | $25.70 |
Where Kentucky sits
The same service costs 12.9 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· 46th of 51
$30.90
VT $347FL $26.92
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.