How much rates vary
Facilitymedian $100 · 10th to 90th $45 to $195Professionalmedian $91 · 10th to 90th $87 to $162
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 $91.20 Median $100.00 Typical High $158.49 | Facility | None | $91.20 | $100.00 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $112.20 | Facility | TC · Technical part | $57.54 | $70.79 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $91.20 | $100.00 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $29.51 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $70.79 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $22.39 | $33.11 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $89.13 | $91.20 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $34.67 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $60.26 Typical High $89.13 | Professional | TC · Technical part | $54.95 | $60.26 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $69.18 Typical High $109.65 | Facility | None | $27.54 | $69.18 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.18 Median $38.02 Typical High $45.71 | Professional | None (both parts) | $28.18 | $38.02 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $281.84 | Facility | None | $173.78 | $173.78 | $281.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.41 Median $34.67 Typical High $50.12 | Facility | 26 · Professional part | $7.41 | $34.67 | $50.12 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $18.62 Median $87.10 Typical High $123.03 | Facility | TC · Technical part | $18.62 | $87.10 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $524.81 | Professional | None (both parts) | $93.33 | $138.04 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $154.88 | Professional | 26 · Professional part | $29.51 | $41.69 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $380.19 | Professional | TC · Technical part | $63.10 | $95.50 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $89.13 | $109.65 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $32.36 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $79.43 | $107.15 |
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 $45.71 Median $50.12 Typical High $52.48 | Professional | 52 · Reduced service | $45.71 | $50.12 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $18.20 | $19.95 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $79.43 Typical High $83.18 | Professional | FX · Film X-ray | $74.13 | $79.43 | $83.18 |
Where Kentucky sits
The same service costs 3.9 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· 49th of 51
$93.33
AK $339TX $87.10
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.