How much rates vary
Facilitymedian $151 · 10th to 90th $63 to $575Professionalmedian $214 · 10th to 90th $129 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 $138.04 Median $151.36 Typical High $575.44 | Facility | None | $138.04 | $151.36 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $138.04 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $52.48 | $56.23 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $85.11 | $93.33 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $776.25 | Professional | None (both parts) | $138.04 | $218.78 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $63.10 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $131.83 Typical High $691.83 | Professional | TC · Technical part | $81.28 | $131.83 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $165.96 | Facility | None | $53.70 | $91.20 | $165.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | None (both parts) | $60.26 | $77.62 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $758.58 | Facility | None | $245.47 | $295.12 | $758.58 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $74.13 Typical High $104.71 | Facility | 26 · Professional part | $15.85 | $74.13 | $104.71 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $131.83 Typical High $190.55 | Facility | TC · Technical part | $28.18 | $131.83 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $398.11 Typical High $2,344.23 | Professional | None (both parts) | $141.25 | $398.11 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $302.00 | Professional | 26 · Professional part | $54.95 | $89.13 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $309.03 Typical High $812.83 | Professional | TC · Technical part | $85.11 | $309.03 | $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 $165.96 Median $218.78 Typical High $501.19 | Professional | None (both parts) | $165.96 | $218.78 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $52.48 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $158.49 Typical High $426.58 | Professional | TC · Technical part | $107.15 | $158.49 | $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 $69.18 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $69.18 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $28.84 Typical High $38.90 | Professional | 53 · Discontinued | $27.54 | $28.84 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $117.49 Typical High $120.23 | Professional | FX · Film X-ray | $109.65 | $117.49 | $120.23 |
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· 32nd of 51
$214
AK $468UT $123
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.