How much rates vary
Facilitymedian $112 · 10th to 90th $40 to $209Professionalmedian $110 · 10th to 90th $81 to $186
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 $104.71 Median $112.20 Typical High $120.23 | Facility | None | $104.71 | $112.20 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $104.71 | $112.20 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $23.99 | $26.30 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $87.10 Typical High $107.15 | Professional | TC · Technical part | $79.43 | $87.10 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $81.28 | $100.00 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $23.44 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $123.03 Median $147.91 Typical High $239.88 | Professional | 50 · Both sides | $123.03 | $147.91 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $57.54 | $69.18 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $85.11 Typical High $131.83 | Facility | None | $25.12 | $85.11 | $131.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $40.74 | Professional | None (both parts) | $25.12 | $33.88 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $707.95 | Facility | None | $208.93 | $208.93 | $707.95 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $38.02 Typical High $56.23 | Facility | 26 · Professional part | $9.33 | $38.02 | $56.23 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $114.82 Typical High $162.18 | Facility | TC · Technical part | $24.55 | $114.82 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $645.65 | Professional | None (both parts) | $102.33 | $162.18 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $134.90 | Professional | 26 · Professional part | $25.70 | $41.69 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $501.19 | Professional | TC · Technical part | $75.86 | $123.03 | $501.19 |
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 $93.33 Median $109.65 Typical High $181.97 | Professional | None (both parts) | $93.33 | $109.65 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $24.55 | $30.20 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $67.61 | $79.43 | $134.90 |
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 $51.29 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $51.29 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $20.89 | $22.91 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $95.50 | Professional | FX · Film X-ray | $83.18 | $91.20 | $95.50 |
Where Kentucky sits
The same service costs 3.9 times more in Alaska than in New York. 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· 47th of 51
$110
AK $380NY $97.72
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.