How much rates vary
Facilitymedian $123 · 10th to 90th $68 to $309Professionalmedian $155 · 10th to 90th $110 to $275
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 $123.03 Median $123.03 Typical High $549.54 | Facility | None | $123.03 | $123.03 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $223.87 | Professional | None (both parts) | $123.03 | $128.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $44.67 Typical High $70.79 | Professional | 26 · Professional part | $43.65 | $44.67 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $79.43 | $83.18 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $269.15 | Professional | None (both parts) | $109.65 | $154.88 | $269.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $52.48 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $102.33 Typical High $194.98 | Professional | TC · Technical part | $60.26 | $102.33 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $85.11 Typical High $186.21 | Facility | None | $41.69 | $85.11 | $186.21 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $40.74 | $58.88 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $213.80 Typical High $309.03 | Facility | None | $204.17 | $213.80 | $309.03 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $11.48 Median $53.70 Typical High $75.86 | Facility | 26 · Professional part | $11.48 | $53.70 | $75.86 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.42 Median $95.50 Typical High $134.90 | Facility | TC · Technical part | $20.42 | $95.50 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $245.47 Typical High $794.33 | Professional | None (both parts) | $109.65 | $245.47 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $229.09 | Professional | 26 · Professional part | $38.90 | $72.44 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $162.18 Typical High $501.19 | Professional | TC · Technical part | $70.79 | $162.18 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $33.11 | $33.11 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $138.04 | $181.97 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $42.66 | $50.12 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $131.83 Typical High $169.82 | Professional | TC · Technical part | $91.20 | $131.83 | $169.82 |
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 $61.66 Median $61.66 Typical High $100.00 | Professional | 52 · Reduced service | $61.66 | $61.66 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $40.74 | Professional | 53 · Discontinued | $24.55 | $24.55 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | FX · Film X-ray | $100.00 | $100.00 | $107.15 |
Where Kentucky sits
The same service costs 4.3 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· 38th of 51
$155
AK $447UT $105
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.