How much rates vary
Facilitymedian $407 · 10th to 90th $63 to $589Professionalmedian $316 · 10th to 90th $219 to $692
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 $269.15 Median $537.03 Typical High $588.84 | Facility | None | $269.15 | $537.03 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $436.52 | $537.03 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $50.12 | Professional | 26 · Professional part | $35.48 | $40.74 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $524.81 Typical High $575.44 | Professional | TC · Technical part | $426.58 | $524.81 | $575.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $562.34 | Professional | None (both parts) | $263.03 | $316.23 | $562.34 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $33.88 | $36.31 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $524.81 | Professional | TC · Technical part | $223.87 | $281.84 | $524.81 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $181.97 Typical High $281.84 | Facility | None | $38.02 | $181.97 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $66.07 | Professional | None (both parts) | $39.81 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,230.27 | Facility | None | $407.38 | $407.38 | $1,230.27 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $10.96 Median $51.29 Typical High $74.13 | Facility | 26 · Professional part | $10.96 | $51.29 | $74.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $234.42 Typical High $331.13 | Facility | TC · Technical part | $50.12 | $234.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $1,230.27 | Professional | None (both parts) | $218.78 | $338.84 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $208.93 | Professional | 26 · Professional part | $39.81 | $66.07 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $1,023.29 | Professional | TC · Technical part | $181.97 | $302.00 | $1,023.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $229.09 | Professional | None (both parts) | $33.11 | $33.11 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $831.76 | Professional | None (both parts) | $218.78 | $302.00 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $44.67 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $776.25 | Professional | TC · Technical part | $181.97 | $263.03 | $776.25 |
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 $218.78 Median $269.15 Typical High $288.40 | Professional | 52 · Reduced service | $218.78 | $269.15 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $107.15 Typical High $117.49 | Professional | 53 · Discontinued | $87.10 | $107.15 | $117.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $446.68 Typical High $467.74 | Professional | FX · Film X-ray | $380.19 | $446.68 | $467.74 |
Where Kentucky sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 43rd of 51
$316
AK $1,000NJ $209
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.