How much rates vary
Facilitymedian $91 · 10th to 90th $50 to $182Professionalmedian $100 · 10th to 90th $81 to $170
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 $81.28 Median $91.20 Typical High $147.91 | Facility | None | $81.28 | $91.20 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $91.20 | $100.00 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $46.77 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $53.70 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $100.00 Typical High $125.89 | Professional | None (both parts) | $83.18 | $100.00 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $32.36 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $75.86 | Professional | TC · Technical part | $52.48 | $61.66 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $51.29 Typical High $109.65 | Facility | None | $41.69 | $51.29 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $72.44 | Professional | None (both parts) | $44.67 | $60.26 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $173.78 Typical High $426.58 | Facility | None | $134.90 | $173.78 | $426.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $57.54 Typical High $81.28 | Facility | 26 · Professional part | $12.30 | $57.54 | $81.28 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $64.57 Typical High $91.20 | Facility | TC · Technical part | $13.80 | $64.57 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $512.86 | Professional | None (both parts) | $87.10 | $147.91 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $58.88 Typical High $234.42 | Professional | 26 · Professional part | $37.15 | $58.88 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $100.00 Typical High $281.84 | Professional | TC · Technical part | $46.77 | $100.00 | $281.84 |
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 $79.43 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $79.43 | $117.49 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $31.62 | $36.31 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $46.77 | $77.62 | $102.33 |
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 $42.66 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $42.66 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $79.43 Typical High $81.28 | Professional | FX · Film X-ray | $72.44 | $79.43 | $81.28 |
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· 46th of 51
$100
AK $316UT $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.