How much rates vary
Facilitymedian $126 · 10th to 90th $63 to $219Professionalmedian $112 · 10th to 90th $85 to $191
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 $109.65 Median $125.89 Typical High $204.17 | Facility | None | $109.65 | $125.89 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $64.57 | Facility | 26 · Professional part | $38.02 | $41.69 | $64.57 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $144.54 | Facility | TC · Technical part | $67.61 | $85.11 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $109.65 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $40.74 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $85.11 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $42.66 | $51.29 | $51.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $97.72 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $31.62 | $38.02 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $100.00 | Professional | TC · Technical part | $63.10 | $72.44 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $162.18 | Facility | None | $39.81 | $81.28 | $162.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $89.13 Typical High $154.88 | Professional | None (both parts) | $39.81 | $89.13 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $354.81 | Facility | None | $213.80 | $213.80 | $354.81 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.72 Median $48.98 Typical High $70.79 | Facility | 26 · Professional part | $10.72 | $48.98 | $70.79 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $100.00 Typical High $144.54 | Facility | TC · Technical part | $21.88 | $100.00 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $173.78 Typical High $645.65 | Professional | None (both parts) | $112.20 | $173.78 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $199.53 | Professional | 26 · Professional part | $36.31 | $54.95 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $117.49 Typical High $446.68 | Professional | TC · Technical part | $75.86 | $117.49 | $446.68 |
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 $97.72 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $97.72 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $31.62 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $91.20 | $128.82 |
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 $54.95 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $21.88 | $25.12 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $100.00 Typical High $102.33 | Professional | FX · Film X-ray | $87.10 | $100.00 | $102.33 |
Where Kentucky sits
The same service costs 3.9 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
$112
AK $407UT $105
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.