How much rates vary
Facilitymedian $110 · 10th to 90th $56 to $575Professionalmedian $200 · 10th to 90th $110 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 $100.00 Median $109.65 Typical High $575.44 | Facility | None | $100.00 | $109.65 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $100.00 | $109.65 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $52.48 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $60.26 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $776.25 | Professional | None (both parts) | $117.49 | $208.93 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $50.12 | $61.66 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $691.83 | Professional | TC · Technical part | $67.61 | $123.03 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $57.54 Typical High $120.23 | Facility | None | $46.77 | $57.54 | $120.23 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $50.12 | $67.61 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $467.74 | Facility | None | $151.36 | $190.55 | $467.74 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $63.10 Typical High $89.13 | Facility | 26 · Professional part | $13.49 | $63.10 | $89.13 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $72.44 Typical High $102.33 | Facility | TC · Technical part | $15.49 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $363.08 Typical High $2,344.23 | Professional | None (both parts) | $109.65 | $363.08 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $269.15 | Professional | 26 · Professional part | $51.29 | $83.18 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $269.15 Typical High $812.83 | Professional | TC · Technical part | $57.54 | $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 $128.82 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $128.82 | $204.17 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $48.98 | $57.54 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $72.44 | $144.54 | $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 $50.12 Median $54.95 Typical High $74.13 | Professional | 52 · Reduced service | $50.12 | $54.95 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $21.88 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $91.20 | Professional | FX · Film X-ray | $79.43 | $87.10 | $91.20 |
Where Kentucky sits
The same service costs 4.8 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· 19th of 51
$200
AK $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.