How much rates vary
Facilitymedian $95 · 10th to 90th $50 to $174Professionalmedian $112 · 10th to 90th $83 to $195
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 $83.18 Median $91.20 Typical High $100.00 | Facility | None | $83.18 | $91.20 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $85.11 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $28.18 | $32.36 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $66.07 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $194.98 | Professional | None (both parts) | $93.33 | $112.20 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.90 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $38.90 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $154.88 | Professional | TC · Technical part | $52.48 | $83.18 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $109.65 | Facility | None | $30.90 | $64.57 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $30.20 | $43.65 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $537.03 | Facility | None | $100.00 | $169.82 | $537.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $38.02 Typical High $54.95 | Facility | 26 · Professional part | $8.32 | $38.02 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $79.43 Typical High $112.20 | Facility | TC · Technical part | $16.98 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $512.86 | Professional | None (both parts) | $87.10 | $162.18 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $169.82 | Professional | 26 · Professional part | $31.62 | $51.29 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $120.23 Typical High $354.81 | Professional | TC · Technical part | $52.48 | $120.23 | $354.81 |
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 $125.89 Typical High $177.83 | Professional | None (both parts) | $79.43 | $125.89 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $36.31 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $89.13 Typical High $141.25 | Professional | TC · Technical part | $46.77 | $89.13 | $141.25 |
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 $54.95 | Professional | 52 · Reduced service | $42.66 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $16.98 | $19.95 | $22.39 |
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 4.6 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· 41st of 51
$110
AK $324TX $70.79
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.