How much rates vary
Facilitymedian $105 · 10th to 90th $52 to $302Professionalmedian $224 · 10th to 90th $105 to $407
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 $95.50 Median $104.71 Typical High $302.00 | Facility | None | $95.50 | $104.71 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $95.50 | $104.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $39.81 | Professional | 26 · Professional part | $35.48 | $38.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $60.26 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $199.53 | $223.87 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $35.48 | $47.86 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $158.49 | $173.78 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $467.74 | Facility | None | $37.15 | $85.11 | $467.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $33.88 | $46.77 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $229.09 | Facility | None | $107.15 | $177.83 | $229.09 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | 26 · Professional part | $9.77 | $45.71 | $66.07 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $77.62 Typical High $112.20 | Facility | TC · Technical part | $16.60 | $77.62 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $1,202.26 | Professional | None (both parts) | $104.71 | $123.03 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $338.84 | Professional | 26 · Professional part | $38.90 | $45.71 | $338.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $72.44 Typical High $398.11 | Professional | TC · Technical part | $66.07 | $72.44 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None (both parts) | $33.11 | $33.11 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $213.80 | $263.03 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $38.02 | $42.66 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $218.78 | $281.84 |
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 $47.86 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $47.86 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $21.88 | Professional | 53 · Discontinued | $19.05 | $20.89 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $75.86 | $83.18 | $87.10 |
Where Kentucky sits
The same service costs 5.2 times more in North Dakota 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· 18th of 51
$224
ND $457FL $87.10
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.