How much rates vary
Facilitymedian $46 · 10th to 90th $23 to $81Professionalmedian $45 · 10th to 90th $33 to $78
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 $41.69 Median $45.71 Typical High $81.28 | Facility | None | $41.69 | $45.71 | $81.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $15.14 Typical High $26.92 | Facility | 26 · Professional part | $13.80 | $15.14 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $54.95 | Facility | TC · Technical part | $28.18 | $30.90 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $85.11 | Professional | None (both parts) | $41.69 | $45.71 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $13.49 | $15.14 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $28.18 | $30.90 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $45.71 | Professional | None (both parts) | $41.69 | $41.69 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $18.20 | $18.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | None (both parts) | $34.67 | $43.65 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $23.99 | Professional | 26 · Professional part | $13.49 | $17.38 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $26.92 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $30.90 Typical High $58.88 | Facility | None | $14.45 | $30.90 | $58.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.45 Median $32.36 Typical High $57.54 | Professional | None (both parts) | $14.45 | $32.36 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $213.80 | Facility | None | $79.43 | $79.43 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.80 Median $17.78 Typical High $25.70 | Facility | 26 · Professional part | $3.80 | $17.78 | $25.70 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $37.15 Typical High $53.70 | Facility | TC · Technical part | $7.94 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $66.07 Typical High $239.88 | Professional | None (both parts) | $44.67 | $66.07 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $75.86 | Professional | 26 · Professional part | $14.45 | $23.99 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $45.71 Typical High $165.96 | Professional | TC · Technical part | $28.84 | $45.71 | $165.96 |
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 $39.81 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $39.81 | $48.98 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $14.13 | $16.22 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $33.11 | $45.71 |
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 $20.42 Median $22.91 Typical High $25.12 | Professional | 52 · Reduced service | $20.42 | $22.91 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $8.32 | $9.12 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $33.11 | $37.15 | $37.15 |
Where Kentucky sits
The same service costs 4.5 times more in Alaska 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· 47th of 51
$44.67
AK $148UT $33.11
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.