How much rates vary
Facilitymedian $10 · 10th to 90th $3 to $19Professionalmedian $13 · 10th to 90th $9 to $19
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 $9.77 Median $10.72 Typical High $15.14 | Facility | None | $9.77 | $10.72 | $15.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $9.77 Median $10.72 Typical High $16.98 | Professional | None (both parts) | $9.77 | $10.72 | $16.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.41 Typical High $12.02 | Professional | 26 · Professional part | $6.76 | $7.41 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.31 Typical High $5.50 | Professional | TC · Technical part | $3.02 | $3.31 | $5.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.71 Median $8.71 Typical High $13.80 | Professional | None (both parts) | $8.71 | $8.71 | $13.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | 26 · Professional part | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.80 Typical High $17.38 | Professional | None (both parts) | $12.02 | $13.80 | $17.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $8.13 | $9.77 | $13.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $3.72 Typical High $4.37 | Professional | TC · Technical part | $2.82 | $3.72 | $4.37 |
CareSource Setting Facility Modifier None Typical Low $3.16 Median $7.24 Typical High $13.80 | Facility | None | $3.16 | $7.24 | $13.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3.16 Median $7.59 Typical High $11.75 | Professional | None (both parts) | $3.16 | $7.59 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $19.05 Typical High $26.92 | Facility | None | $8.51 | $19.05 | $26.92 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $1.95 Median $9.12 Typical High $12.88 | Facility | 26 · Professional part | $1.95 | $9.12 | $12.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $0.93 Median $4.37 Typical High $6.31 | Facility | TC · Technical part | $0.93 | $4.37 | $6.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $15.85 Typical High $56.23 | Professional | None (both parts) | $10.47 | $15.85 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $11.48 Typical High $41.69 | Professional | 26 · Professional part | $7.24 | $11.48 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.69 Median $4.79 Typical High $19.50 | Professional | TC · Technical part | $2.69 | $4.79 | $19.50 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.24 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.24 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.59 Typical High $16.98 | Professional | None (both parts) | $10.47 | $12.59 | $16.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.12 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $9.12 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $2.63 Median $3.80 Typical High $5.37 | Professional | TC · Technical part | $2.63 | $3.80 | $5.37 |
4 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 $4.90 Median $5.37 Typical High $5.37 | Professional | 52 · Reduced service | $4.90 | $5.37 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.14 Typical High $2.14 | Professional | 53 · Discontinued | $1.95 | $2.14 | $2.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $7.94 Median $8.51 Typical High $8.71 | Professional | FX · Film X-ray | $7.94 | $8.51 | $8.71 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | GC · Resident with teaching physician | $13.80 | $13.80 | $13.80 |
Where Kentucky sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 36th of 51
$13.18
AK $35.48FL $9.12
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.