How much rates vary
Facilitymedian $79 · 10th to 90th $36 to $295Professionalmedian $100 · 10th to 90th $74 to $380
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 $74.13 Median $81.28 Typical High $295.12 | Facility | None | $74.13 | $81.28 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $74.13 | $81.28 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $45.71 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $36.31 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $66.07 | $89.13 | $89.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $380.19 | Professional | None (both parts) | $74.13 | $100.00 | $380.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $151.36 | Professional | 26 · Professional part | $41.69 | $53.70 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $234.42 | Professional | TC · Technical part | $33.88 | $45.71 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $43.65 Typical High $89.13 | Facility | None | $34.67 | $43.65 | $89.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $54.95 | Professional | None (both parts) | $30.90 | $44.67 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $56.23 Typical High $79.43 | Facility | 26 · Professional part | $12.02 | $56.23 | $79.43 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $44.67 Typical High $64.57 | Facility | TC · Technical part | $9.77 | $44.67 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $1,148.15 | Professional | None (both parts) | $81.28 | $125.89 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $478.63 | Professional | 26 · Professional part | $44.67 | $67.61 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $57.54 Typical High $269.15 | Professional | TC · Technical part | $36.31 | $57.54 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $112.20 | Professional | None (both parts) | $33.11 | $33.11 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $79.43 | $95.50 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $72.44 | Professional | 26 · Professional part | $43.65 | $48.98 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $45.71 | $64.57 |
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 $37.15 Median $40.74 Typical High $41.69 | Professional | 52 · Reduced service | $37.15 | $40.74 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.22 Typical High $16.98 | Professional | 53 · Discontinued | $14.79 | $16.22 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $64.57 Typical High $66.07 | Professional | FX · Film X-ray | $58.88 | $64.57 | $66.07 |
Where Kentucky sits
The same service costs 4.2 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· 34th of 51
$100
AK $275TX $66.07
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.