How much rates vary
Facilitymedian $55 · 10th to 90th $29 to $100Professionalmedian $76 · 10th to 90th $35 to $117
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $50.12 Median $54.95 Typical High $100.00 | Facility | None | $50.12 | $54.95 | $100.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $46.77 | Facility | 26 · Professional part | $24.55 | $26.92 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $52.48 | Facility | TC · Technical part | $25.12 | $27.54 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $54.95 Typical High $104.71 | Professional | None (both parts) | $50.12 | $54.95 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $26.92 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $27.54 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $67.61 | $77.62 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $22.39 | $29.51 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $47.86 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $35.48 Typical High $69.18 | Facility | None | $25.12 | $35.48 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $25.12 | $33.11 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $213.80 | Facility | None | $72.44 | $100.00 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $33.11 Typical High $46.77 | Facility | 26 · Professional part | $7.08 | $33.11 | $46.77 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.76 Median $36.31 Typical High $52.48 | Facility | TC · Technical part | $7.76 | $36.31 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $338.84 | Professional | None (both parts) | $52.48 | $95.50 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $35.48 Typical High $134.90 | Professional | 26 · Professional part | $25.12 | $35.48 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $60.26 Typical High $190.55 | Professional | TC · Technical part | $26.30 | $60.26 | $190.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $35.48 | Professional | None (both parts) | $33.11 | $33.11 | $35.48 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $67.61 | $79.43 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $25.12 | $27.54 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $41.69 | $53.70 | $70.79 |
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 $25.12 Median $26.92 Typical High $28.18 | Professional | 52 · Reduced service | $25.12 | $26.92 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.72 Typical High $11.22 | Professional | 53 · Discontinued | $10.00 | $10.72 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | FX · Film X-ray | $39.81 | $42.66 | $43.65 |
Where Kentucky sits
The same service costs 4.1 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· 36th of 51
$75.86
AK $195TX $47.86
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.