How much rates vary
Facilitymedian $56 · 10th to 90th $27 to $105Professionalmedian $63 · 10th to 90th $47 to $102
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 $51.29 Median $56.23 Typical High $104.71 | Facility | None | $51.29 | $56.23 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $60.26 | Facility | TC · Technical part | $28.84 | $31.62 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $51.29 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $23.99 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $23.99 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | TC · Technical part | $28.84 | $31.62 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $46.77 | $63.10 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $22.91 | $29.51 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $33.88 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $31.62 Typical High $61.66 | Facility | None | $22.91 | $31.62 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $25.12 | $32.36 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $257.04 | Facility | None | $83.18 | $95.50 | $257.04 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.17 Median $28.84 Typical High $40.74 | Facility | 26 · Professional part | $6.17 | $28.84 | $40.74 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $8.13 Median $38.02 Typical High $53.70 | Facility | TC · Technical part | $8.13 | $38.02 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $85.11 Typical High $295.12 | Professional | None (both parts) | $54.95 | $85.11 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.90 Typical High $128.82 | Professional | 26 · Professional part | $23.44 | $38.90 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $48.98 Typical High $165.96 | Professional | TC · Technical part | $30.90 | $48.98 | $165.96 |
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 $54.95 Median $63.10 Typical High $91.20 | Professional | None (both parts) | $54.95 | $63.10 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $27.54 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $50.12 | Professional | TC · Technical part | $30.20 | $35.48 | $50.12 |
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 $25.70 Median $28.18 Typical High $37.15 | Professional | 52 · Reduced service | $25.70 | $28.18 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.22 Typical High $14.79 | Professional | 53 · Discontinued | $10.23 | $11.22 | $14.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | FX · Film X-ray | $40.74 | $44.67 | $44.67 |
Where Kentucky sits
The same service costs 3.8 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· 38th of 51
$63.10
AK $178TX $46.77
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.