How much rates vary
Facilitymedian $89 · 10th to 90th $43 to $158Professionalmedian $81 · 10th to 90th $60 to $135
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 $75.86 Median $89.13 Typical High $151.36 | Facility | None | $75.86 | $89.13 | $151.36 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $27.54 Typical High $43.65 | Facility | 26 · Professional part | $25.70 | $27.54 | $43.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $112.20 | Facility | TC · Technical part | $47.86 | $60.26 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $165.96 | Professional | None (both parts) | $81.28 | $89.13 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $27.54 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $63.10 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $33.88 | $36.31 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $107.15 | Professional | None (both parts) | $67.61 | $77.62 | $107.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $20.89 | $25.12 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $74.13 | Professional | TC · Technical part | $44.67 | $52.48 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $114.82 | Facility | None | $26.92 | $58.88 | $114.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $26.30 | $63.10 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $354.81 | Facility | None | $151.36 | $151.36 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $33.11 Typical High $46.77 | Facility | 26 · Professional part | $7.08 | $33.11 | $46.77 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $72.44 Typical High $102.33 | Facility | TC · Technical part | $15.49 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $457.09 | Professional | None (both parts) | $79.43 | $120.23 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $134.90 | Professional | 26 · Professional part | $24.55 | $37.15 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $323.59 | Professional | TC · Technical part | $54.95 | $85.11 | $323.59 |
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 $69.18 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $69.18 | $93.33 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $21.38 | $25.70 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $64.57 | $91.20 |
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 $38.02 Median $44.67 Typical High $47.86 | Professional | 52 · Reduced service | $38.02 | $44.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | 53 · Discontinued | $15.14 | $17.78 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $70.79 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $70.79 | $72.44 |
Where Kentucky sits
The same service costs 3.8 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· 48th of 51
$81.28
AK $282UT $74.13
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.