How much rates vary
Facilitymedian $60 · 10th to 90th $25 to $214Professionalmedian $151 · 10th to 90th $59 to $229
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 $54.95 Median $60.26 Typical High $169.82 | Facility | None | $54.95 | $60.26 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $66.07 | Professional | None (both parts) | $54.95 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $26.30 | Professional | 26 · Professional part | $20.42 | $22.39 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $38.02 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $147.91 | $151.36 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $29.51 | $33.11 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $114.82 | $117.49 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $48.98 Typical High $263.03 | Facility | None | $21.88 | $48.98 | $263.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $19.05 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $19.05 | $26.92 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.17 Median $28.84 Typical High $40.74 | Facility | 26 · Professional part | $6.17 | $28.84 | $40.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.72 Median $48.98 Typical High $70.79 | Facility | TC · Technical part | $10.72 | $48.98 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $676.08 | Professional | None (both parts) | $58.88 | $93.33 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $33.88 Typical High $165.96 | Professional | 26 · Professional part | $21.88 | $33.88 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $57.54 Typical High $302.00 | Professional | TC · Technical part | $37.15 | $57.54 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $33.11 | $33.11 | $89.13 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $199.53 | Professional | None (both parts) | $131.83 | $158.49 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $42.66 | Professional | 26 · Professional part | $28.84 | $34.67 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $125.89 | $162.18 |
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 $27.54 Median $30.20 Typical High $31.62 | Professional | 52 · Reduced service | $27.54 | $30.20 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.02 Typical High $12.88 | Professional | 53 · Discontinued | $11.22 | $12.02 | $12.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $48.98 Typical High $48.98 | Professional | FX · Film X-ray | $44.67 | $48.98 | $48.98 |
Where Kentucky sits
The same service costs 6.6 times more in Nebraska than in Florida. 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· 16th of 51
$151
NE $363FL $54.95
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.