How much rates vary
Facilitymedian $72 · 10th to 90th $34 to $135Professionalmedian $74 · 10th to 90th $59 to $123
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 $61.66 Median $67.61 Typical High $74.13 | Facility | None | $61.66 | $67.61 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $67.61 | $74.13 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $19.95 | $21.88 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $52.48 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $85.11 | Professional | None (both parts) | $60.26 | $70.79 | $85.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $19.05 | $19.50 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $52.48 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $50.12 Typical High $81.28 | Facility | None | $20.89 | $50.12 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $34.67 | Professional | None (both parts) | $20.89 | $29.51 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $213.80 | Facility | None | $134.90 | $134.90 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $5.89 Median $27.54 Typical High $39.81 | Facility | 26 · Professional part | $5.89 | $27.54 | $39.81 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $14.45 Median $67.61 Typical High $95.50 | Facility | TC · Technical part | $14.45 | $67.61 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $117.49 Typical High $407.38 | Professional | None (both parts) | $64.57 | $117.49 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $35.48 Typical High $112.20 | Professional | 26 · Professional part | $21.38 | $35.48 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $93.33 Typical High $295.12 | Professional | TC · Technical part | $41.69 | $93.33 | $295.12 |
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 $58.88 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $58.88 | $93.33 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $20.42 | $23.99 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $36.31 | $69.18 | $93.33 |
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 $31.62 Median $37.15 Typical High $39.81 | Professional | 52 · Reduced service | $31.62 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $12.88 | $14.79 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $58.88 Typical High $60.26 | Professional | FX · Film X-ray | $54.95 | $58.88 | $60.26 |
Where Kentucky sits
The same service costs 3.8 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· 47th of 51
$74.13
AK $245UT $64.57
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.