How much rates vary
Facilitymedian $29 · 10th to 90th $11 to $49Professionalmedian $28 · 10th to 90th $21 to $48
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $30.20 | Facility | None | $26.30 | $28.84 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.84 Typical High $39.81 | Professional | None (both parts) | $26.30 | $28.84 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.59 Typical High $10.23 | Professional | 26 · Professional part | $6.92 | $7.59 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $28.84 | Professional | TC · Technical part | $19.50 | $21.38 | $28.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $25.70 Typical High $39.81 | Professional | None (both parts) | $21.38 | $25.70 | $39.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $6.76 | $8.51 | $12.59 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $38.90 Typical High $60.26 | Professional | 50 · Both sides | $32.36 | $38.90 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $17.38 Typical High $27.54 | Professional | TC · Technical part | $14.79 | $17.38 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $7.08 Median $20.42 Typical High $32.36 | Facility | None | $7.08 | $20.42 | $32.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.00 Typical High $11.75 | Professional | None (both parts) | $7.24 | $10.00 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $173.78 | Facility | None | $48.98 | $48.98 | $173.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.95 Median $9.12 Typical High $12.88 | Facility | 26 · Professional part | $1.95 | $9.12 | $12.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $5.37 Median $25.12 Typical High $35.48 | Facility | TC · Technical part | $5.37 | $25.12 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $41.69 Typical High $147.91 | Professional | None (both parts) | $26.92 | $41.69 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.02 Typical High $39.81 | Professional | 26 · Professional part | $7.41 | $12.02 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $30.90 Typical High $112.20 | Professional | TC · Technical part | $19.50 | $30.90 | $112.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.90 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $42.66 | Professional | None (both parts) | $23.99 | $30.90 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $12.30 | Professional | 26 · Professional part | $7.08 | $8.32 | $12.30 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $30.90 | Professional | TC · Technical part | $16.60 | $21.88 | $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 $5.25 Median $5.75 Typical High $6.17 | Professional | 53 · Discontinued | $5.25 | $5.75 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $22.91 Typical High $23.44 | Professional | FX · Film X-ray | $20.89 | $22.91 | $23.44 |
Where Kentucky sits
The same service costs 3.5 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 $85.11FL $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.