How much rates vary
Facilitymedian $112 · 10th to 90th $56 to $575Professionalmedian $204 · 10th to 90th $107 to $776
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 $102.33 Median $112.20 Typical High $575.44 | Facility | None | $102.33 | $112.20 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $239.88 | Professional | None (both parts) | $102.33 | $112.20 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $52.48 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $177.83 | Professional | TC · Technical part | $54.95 | $60.26 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $776.25 | Professional | None (both parts) | $120.23 | $208.93 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $125.89 Typical High $691.83 | Professional | TC · Technical part | $67.61 | $125.89 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $123.03 | Facility | None | $47.86 | $66.07 | $123.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $48.98 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $48.98 | $66.07 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $489.78 | Facility | None | $158.49 | $194.98 | $489.78 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $61.66 Typical High $89.13 | Facility | 26 · Professional part | $13.18 | $61.66 | $89.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $74.13 Typical High $107.15 | Facility | TC · Technical part | $16.22 | $74.13 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $354.81 Typical High $2,344.23 | Professional | None (both parts) | $109.65 | $354.81 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $275.42 | Professional | 26 · Professional part | $50.12 | $83.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $60.26 | $269.15 | $812.83 |
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 $128.82 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $128.82 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $58.88 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $426.58 | Professional | TC · Technical part | $72.44 | $147.91 | $426.58 |
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 $51.29 Median $56.23 Typical High $74.13 | Professional | 52 · Reduced service | $51.29 | $56.23 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $29.51 | Professional | 53 · Discontinued | $20.42 | $22.39 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $89.13 Typical High $91.20 | Professional | FX · Film X-ray | $83.18 | $89.13 | $91.20 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 19th of 51
$204
AK $372UT $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.