How much rates vary
Facilitymedian $38 · 10th to 90th $19 to $74Professionalmedian $55 · 10th to 90th $33 to $83
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 $34.67 Median $38.02 Typical High $72.44 | Facility | None | $34.67 | $38.02 | $72.44 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $26.92 | Facility | 26 · Professional part | $13.49 | $14.79 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $23.44 Typical High $46.77 | Facility | TC · Technical part | $21.38 | $23.44 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $38.90 Typical High $70.79 | Professional | None (both parts) | $34.67 | $38.90 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $23.44 | Professional | 26 · Professional part | $13.49 | $14.79 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $23.99 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $23.99 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $83.18 | Professional | None (both parts) | $33.11 | $54.95 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $24.55 | Professional | 26 · Professional part | $14.13 | $16.98 | $24.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $20.42 | $33.88 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $22.91 Typical High $41.69 | Facility | None | $13.80 | $22.91 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $14.13 Median $19.50 Typical High $23.44 | Professional | None (both parts) | $14.13 | $19.50 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $190.55 | Facility | None | $61.66 | $67.61 | $190.55 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.80 Median $17.78 Typical High $25.70 | Facility | 26 · Professional part | $3.80 | $17.78 | $25.70 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.31 Median $28.84 Typical High $41.69 | Facility | TC · Technical part | $6.31 | $28.84 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $72.44 Typical High $251.19 | Professional | None (both parts) | $37.15 | $72.44 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $77.62 | Professional | 26 · Professional part | $14.45 | $23.99 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $50.12 Typical High $199.53 | Professional | TC · Technical part | $22.91 | $50.12 | $199.53 |
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 $37.15 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $37.15 | $57.54 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $23.99 | Professional | 26 · Professional part | $14.13 | $16.60 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $52.48 | Professional | TC · Technical part | $21.88 | $41.69 | $52.48 |
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 $17.38 Median $19.05 Typical High $24.55 | Professional | 52 · Reduced service | $17.38 | $19.05 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $9.77 | Professional | 53 · Discontinued | $6.92 | $7.59 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $30.90 Typical High $31.62 | Professional | FX · Film X-ray | $28.18 | $30.90 | $31.62 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in New York. 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· 29th of 51
$54.95
AK $115NY $30.20
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.