How much rates vary
Facilitymedian $69 · 10th to 90th $36 to $151Professionalmedian $87 · 10th to 90th $68 to $155
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 $63.10 Median $69.18 Typical High $151.36 | Facility | None | $63.10 | $69.18 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $63.10 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.02 Typical High $61.66 | Professional | TC · Technical part | $34.67 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $87.10 Typical High $154.88 | Professional | None (both parts) | $74.13 | $87.10 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $37.15 | $52.48 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $112.20 Median $128.82 Typical High $234.42 | Professional | 50 · Both sides | $112.20 | $128.82 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $48.98 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $41.69 Typical High $75.86 | Facility | None | $29.51 | $41.69 | $75.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $47.86 | Professional | None (both parts) | $28.84 | $38.90 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $213.80 | Facility | None | $70.79 | $123.03 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $38.02 Typical High $53.70 | Facility | 26 · Professional part | $8.13 | $38.02 | $53.70 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.23 Median $47.86 Typical High $69.18 | Facility | TC · Technical part | $10.23 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $114.82 Typical High $602.56 | Professional | None (both parts) | $67.61 | $114.82 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $165.96 | Professional | 26 · Professional part | $30.20 | $43.65 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $70.79 Typical High $213.80 | Professional | TC · Technical part | $38.02 | $70.79 | $213.80 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $79.43 | $87.10 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $34.67 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $52.48 Typical High $79.43 | Professional | TC · Technical part | $47.86 | $52.48 | $79.43 |
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 $31.62 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $31.62 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $12.59 | $13.80 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $54.95 Typical High $56.23 | Professional | FX · Film X-ray | $50.12 | $54.95 | $56.23 |
Where Kentucky sits
The same service costs 3.7 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· 40th of 51
$87.10
AK $229TX $61.66
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.