How much rates vary
Facilitymedian $158 · 10th to 90th $81 to $589Professionalmedian $263 · 10th to 90th $145 to $794
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 $144.54 Median $158.49 Typical High $588.84 | Facility | None | $144.54 | $158.49 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $144.54 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $53.70 | $58.88 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $794.33 | Professional | None (both parts) | $162.18 | $275.42 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $57.54 | $74.13 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $181.97 Typical High $691.83 | Professional | TC · Technical part | $107.15 | $181.97 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $97.72 Typical High $173.78 | Facility | None | $56.23 | $97.72 | $173.78 |
CareSource Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $56.23 | $75.86 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $812.83 | Facility | None | $263.03 | $281.84 | $812.83 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.14 Median $70.79 Typical High $102.33 | Facility | 26 · Professional part | $15.14 | $70.79 | $102.33 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $125.89 Typical High $177.83 | Facility | TC · Technical part | $26.92 | $125.89 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $426.58 Typical High $2,344.23 | Professional | None (both parts) | $154.88 | $426.58 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $309.03 | Professional | 26 · Professional part | $57.54 | $95.50 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $331.13 Typical High $851.14 | Professional | TC · Technical part | $97.72 | $331.13 | $851.14 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $33.11 | $33.11 | $58.88 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $269.15 Typical High $524.81 | Professional | None (both parts) | $177.83 | $269.15 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $69.18 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $190.55 Typical High $436.52 | Professional | TC · Technical part | $109.65 | $190.55 | $436.52 |
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 $72.44 Median $79.43 Typical High $100.00 | Professional | 52 · Reduced service | $72.44 | $79.43 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $31.62 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $128.82 Typical High $128.82 | Professional | FX · Film X-ray | $117.49 | $128.82 | $128.82 |
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· 26th of 51
$257
AK $513TX $117
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.