How much rates vary
Facilitymedian $158 · 10th to 90th $85 to $275Professionalmedian $120 · 10th to 90th $98 to $200
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 $125.89 Median $144.54 Typical High $229.09 | Facility | None | $125.89 | $144.54 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $125.89 | $158.49 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $60.26 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None (both parts) | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $93.33 | $114.82 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $50.12 | $58.88 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $44.67 | $58.88 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $102.33 Typical High $181.97 | Facility | None | $56.23 | $102.33 | $181.97 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $57.54 | $77.62 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $275.42 Typical High $416.87 | Facility | None | $213.80 | $275.42 | $416.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $75.86 Typical High $107.15 | Facility | 26 · Professional part | $16.22 | $75.86 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $117.49 Typical High $165.96 | Facility | TC · Technical part | $25.12 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $173.78 Typical High $831.76 | Professional | None (both parts) | $114.82 | $173.78 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $309.03 | Professional | 26 · Professional part | $56.23 | $74.13 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $512.86 | Professional | TC · Technical part | $64.57 | $97.72 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $33.11 | $33.11 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $107.15 | $128.82 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $56.23 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $70.79 | $112.20 |
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 $67.61 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $67.61 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $109.65 | $125.89 | $125.89 |
Where Kentucky sits
The same service costs 4.9 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· 48th of 51
$120
AK $468UT $95.50
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.