How much rates vary
Facilitymedian $74 · 10th to 90th $31 to $166Professionalmedian $166 · 10th to 90th $74 to $282
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 $69.18 Median $75.86 Typical High $165.96 | Facility | None | $69.18 | $75.86 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $69.18 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $28.18 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $43.65 | $47.86 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $147.91 | $169.82 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $45.71 | Professional | 26 · Professional part | $25.70 | $33.11 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $134.90 | $199.53 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $46.77 Typical High $83.18 | Facility | None | $26.92 | $46.77 | $83.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $43.65 | Professional | None (both parts) | $26.92 | $36.31 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $158.49 | Facility | None | $75.86 | $128.82 | $158.49 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $33.11 Typical High $47.86 | Facility | 26 · Professional part | $7.08 | $33.11 | $47.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.30 Median $56.23 Typical High $81.28 | Facility | TC · Technical part | $12.30 | $56.23 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $147.91 Typical High $660.69 | Professional | None (both parts) | $74.13 | $147.91 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $45.71 Typical High $147.91 | Professional | 26 · Professional part | $27.54 | $45.71 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $93.33 Typical High $251.19 | Professional | TC · Technical part | $46.77 | $93.33 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $33.11 | $33.11 | $114.82 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $128.82 | $165.96 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $31.62 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $102.33 | $131.83 | $208.93 |
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 $34.67 Median $38.02 Typical High $51.29 | Professional | 52 · Reduced service | $34.67 | $38.02 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $15.14 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $61.66 | Professional | FX · Film X-ray | $54.95 | $60.26 | $61.66 |
Where Kentucky sits
The same service costs 4.4 times more in Alaska 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· 13th of 51
$166
AK $331TX $75.86
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.