How much rates vary
Facilitymedian $135 · 10th to 90th $68 to $575Professionalmedian $200 · 10th to 90th $87 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 $123.03 Median $134.90 Typical High $575.44 | Facility | None | $123.03 | $134.90 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $123.03 | $134.90 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $50.12 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $83.18 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $186.21 Typical High $776.25 | Professional | None (both parts) | $87.10 | $186.21 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $63.10 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $154.88 Typical High $691.83 | Professional | TC · Technical part | $87.10 | $154.88 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $81.28 Typical High $147.91 | Facility | None | $46.77 | $81.28 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $43.65 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $43.65 | $64.57 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $229.09 Typical High $676.08 | Facility | None | $131.83 | $229.09 | $676.08 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $60.26 Typical High $85.11 | Facility | 26 · Professional part | $12.88 | $60.26 | $85.11 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $102.33 Typical High $144.54 | Facility | TC · Technical part | $21.88 | $102.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $407.38 Typical High $2,344.23 | Professional | None (both parts) | $131.83 | $407.38 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $81.28 Typical High $275.42 | Professional | 26 · Professional part | $48.98 | $81.28 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $309.03 Typical High $812.83 | Professional | TC · Technical part | $81.28 | $309.03 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $33.11 | $33.11 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $229.09 Typical High $512.86 | Professional | None (both parts) | $151.36 | $229.09 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $58.88 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $165.96 Typical High $426.58 | Professional | TC · Technical part | $93.33 | $165.96 | $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 $61.66 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $61.66 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $24.55 | $26.92 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $107.15 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $107.15 | $109.65 |
Where Kentucky sits
The same service costs 4.2 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· 32nd of 51
$200
AK $437UT $105
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.