How much rates vary
Facilitymedian $200 · 10th to 90th $102 to $525Professionalmedian $263 · 10th to 90th $162 to $537
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 $190.55 Median $199.53 Typical High $776.25 | Facility | None | $190.55 | $199.53 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $114.82 | Facility | 26 · Professional part | $63.10 | $63.10 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $446.68 | Facility | TC · Technical part | $128.82 | $128.82 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $190.55 | $223.87 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $67.61 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $128.82 | $154.88 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $186.21 | $204.17 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $75.86 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $478.63 | Professional | None (both parts) | $190.55 | $338.84 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $74.13 | $91.20 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $489.78 Typical High $707.95 | Professional | 50 · Both sides | $295.12 | $489.78 | $707.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $134.90 | $245.47 | $398.11 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $138.04 Typical High $288.40 | Facility | None | $60.26 | $138.04 | $288.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $60.26 | $134.90 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $501.19 | Facility | None | $331.13 | $416.87 | $501.19 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $74.13 Typical High $107.15 | Facility | 26 · Professional part | $15.85 | $74.13 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $245.47 Typical High $346.74 | Facility | TC · Technical part | $52.48 | $245.47 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $512.86 Typical High $2,089.30 | Professional | None (both parts) | $169.82 | $512.86 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $316.23 | Professional | 26 · Professional part | $54.95 | $104.71 | $316.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $426.58 Typical High $1,548.82 | Professional | TC · Technical part | $114.82 | $426.58 | $1,548.82 |
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 $218.78 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $218.78 | $446.68 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $58.88 | $72.44 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $389.05 Typical High $489.78 | Professional | TC · Technical part | $147.91 | $389.05 | $489.78 |
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 $95.50 Median $97.72 Typical High $263.03 | Professional | 52 · Reduced service | $95.50 | $97.72 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.90 Typical High $104.71 | Professional | 53 · Discontinued | $38.02 | $38.90 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $295.12 | Professional | FX · Film X-ray | $154.88 | $154.88 | $295.12 |
Where Kentucky sits
The same service costs 13.5 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· 42nd of 51
$263
VT $2,089UT $155
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.