How much rates vary
Facilitymedian $107 · 10th to 90th $52 to $575Professionalmedian $162 · 10th to 90th $60 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 $97.72 Median $107.15 Typical High $575.44 | Facility | None | $97.72 | $107.15 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $245.47 | Professional | None (both parts) | $97.72 | $107.15 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $52.48 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $173.78 | Professional | TC · Technical part | $50.12 | $56.23 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $162.18 Typical High $776.25 | Professional | None (both parts) | $60.26 | $162.18 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $48.98 | $61.66 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $691.83 | Professional | TC · Technical part | $83.18 | $131.83 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $117.49 | Facility | None | $43.65 | $57.54 | $117.49 |
CareSource Setting Professional Modifier None (both parts) Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $53.70 | $69.18 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $186.21 Typical High $446.68 | Facility | None | $141.25 | $186.21 | $446.68 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $61.66 Typical High $89.13 | Facility | 26 · Professional part | $13.18 | $61.66 | $89.13 |
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 $104.71 Median $346.74 Typical High $2,344.23 | Professional | None (both parts) | $104.71 | $346.74 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $275.42 | Professional | 26 · Professional part | $50.12 | $83.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $53.70 | $269.15 | $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 $125.89 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $125.89 | $199.53 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $57.54 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $141.25 Typical High $426.58 | Professional | TC · Technical part | $67.61 | $141.25 | $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 $48.98 Median $53.70 Typical High $69.18 | Professional | 52 · Reduced service | $48.98 | $53.70 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.38 Typical High $28.18 | Professional | 53 · Discontinued | $19.50 | $21.38 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $85.11 Typical High $87.10 | Professional | FX · Film X-ray | $77.62 | $85.11 | $87.10 |
Where Kentucky sits
The same service costs 4.8 times more in Kansas 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
$162
KS $363UT $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.