How much rates vary
Facilitymedian $120 · 10th to 90th $58 to $575Professionalmedian $166 · 10th to 90th $102 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 $109.65 Median $120.23 Typical High $575.44 | Facility | None | $109.65 | $120.23 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $109.65 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $47.86 | $52.48 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $60.26 | $66.07 | $87.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $165.96 Typical High $776.25 | Professional | None (both parts) | $102.33 | $165.96 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $50.12 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $204.17 Typical High $691.83 | Professional | TC · Technical part | $74.13 | $204.17 | $691.83 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $66.07 Typical High $128.82 | Facility | None | $50.12 | $66.07 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $50.12 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $50.12 | $67.61 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $537.03 | Facility | None | $173.78 | $204.17 | $537.03 |
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 $16.98 Median $79.43 Typical High $114.82 | Facility | TC · Technical part | $16.98 | $79.43 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $407.38 Typical High $2,344.23 | Professional | None (both parts) | $117.49 | $407.38 | $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 $66.07 Median $323.59 Typical High $812.83 | Professional | TC · Technical part | $66.07 | $323.59 | $812.83 |
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 $138.04 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $138.04 | $269.15 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $61.66 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $81.28 | $208.93 | $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 $54.95 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $23.99 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $95.50 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $95.50 | $97.72 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 37th of 51
$166
AK $398TX $81.28
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.