How much rates vary
Facilitymedian $87 · 10th to 90th $23 to $513Professionalmedian $195 · 10th to 90th $69 to $501
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 $83.18 Median $467.74 Typical High $512.86 | Facility | None | $83.18 | $467.74 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $302.00 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $28.18 | Professional | 26 · Professional part | $19.50 | $21.38 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $457.09 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $457.09 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $107.15 | $208.93 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $19.50 | $25.70 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $72.44 | $190.55 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $28.84 Typical High $54.95 | Facility | None | $19.95 | $28.84 | $54.95 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.42 Median $27.54 Typical High $32.36 | Professional | None (both parts) | $20.42 | $27.54 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $87.10 Typical High $239.88 | Facility | None | $50.12 | $87.10 | $239.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.50 Median $25.70 Typical High $37.15 | Facility | 26 · Professional part | $5.50 | $25.70 | $37.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.59 Median $35.48 Typical High $51.29 | Facility | TC · Technical part | $7.59 | $35.48 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $89.13 Typical High $501.19 | Professional | None (both parts) | $50.12 | $89.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $34.67 Typical High $114.82 | Professional | 26 · Professional part | $20.89 | $34.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $60.26 Typical High $501.19 | Professional | TC · Technical part | $28.84 | $60.26 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $24.55 | $33.11 | $66.07 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $660.69 | Professional | None (both parts) | $66.07 | $91.20 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $24.55 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $630.96 | Professional | TC · Technical part | $44.67 | $63.10 | $630.96 |
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 $147.91 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $147.91 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $93.33 Typical High $102.33 | Professional | 53 · Discontinued | $60.26 | $93.33 | $102.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $331.13 Median $380.19 Typical High $407.38 | Professional | FX · Film X-ray | $331.13 | $380.19 | $407.38 |
Where Kentucky sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 27th of 51
$195
CO $661MI $58.88
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.