How much rates vary
Facilitymedian $72 · 10th to 90th $32 to $129Professionalmedian $151 · 10th to 90th $62 to $331
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 $66.07 Median $72.44 Typical High $128.82 | Facility | None | $66.07 | $72.44 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $107.15 | Facility | TC · Technical part | $43.65 | $47.86 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $72.44 Typical High $208.93 | Professional | None (both parts) | $66.07 | $72.44 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $38.02 | Professional | 26 · Professional part | $16.60 | $23.44 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $199.53 | Professional | TC · Technical part | $43.65 | $48.98 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $30.20 | $30.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $131.83 | $173.78 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $15.14 | $19.95 | $27.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $117.49 | $144.54 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $47.86 Typical High $93.33 | Facility | None | $22.91 | $47.86 | $93.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $22.91 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $22.91 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $389.05 | Facility | None | $125.89 | $128.82 | $389.05 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $33.11 Typical High $50.12 | Facility | 26 · Professional part | $20.89 | $33.11 | $50.12 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $13.18 Median $61.66 Typical High $87.10 | Facility | TC · Technical part | $13.18 | $61.66 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $512.86 | Professional | None (both parts) | $70.79 | $151.36 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $30.20 Typical High $120.23 | Professional | 26 · Professional part | $19.50 | $30.20 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $46.77 | $125.89 | $269.15 |
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 $112.20 Typical High $151.36 | Professional | None (both parts) | $69.18 | $112.20 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $16.60 | $20.89 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $46.77 | $89.13 | $120.23 |
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 $33.11 Median $36.31 Typical High $53.70 | Professional | 52 · Reduced service | $33.11 | $36.31 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.45 Typical High $21.38 | Professional | 53 · Discontinued | $13.18 | $14.45 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $57.54 Typical High $58.88 | Professional | FX · Film X-ray | $52.48 | $57.54 | $58.88 |
Where Kentucky sits
The same service costs 5.4 times more in New York than in Texas. 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· 14th of 51
$151
NY $355TX $66.07
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.