How much rates vary
Facilitymedian $170 · 10th to 90th $79 to $316Professionalmedian $158 · 10th to 90th $110 to $269
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 $162.18 Median $173.78 Typical High $177.83 | Facility | None | $162.18 | $173.78 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $151.36 | $177.83 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $83.18 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $70.79 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $158.49 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $186.21 | Professional | None (both parts) | $102.33 | $128.82 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $69.18 | $74.13 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $63.10 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $75.86 Median $93.33 Typical High $194.98 | Facility | None | $75.86 | $93.33 | $194.98 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $125.89 | Professional | None (both parts) | $70.79 | $102.33 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $100.00 Typical High $144.54 | Facility | 26 · Professional part | $21.88 | $100.00 | $144.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $117.49 Typical High $169.82 | Facility | TC · Technical part | $25.70 | $117.49 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $239.88 Typical High $933.25 | Professional | None (both parts) | $154.88 | $239.88 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $588.84 | Professional | 26 · Professional part | $81.28 | $114.82 | $588.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $125.89 Typical High $524.81 | Professional | TC · Technical part | $66.07 | $125.89 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $33.11 | $33.11 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $151.36 | $190.55 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $77.62 | $89.13 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $104.71 | $144.54 |
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 $81.28 Median $89.13 Typical High $89.13 | Professional | 52 · Reduced service | $81.28 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $35.48 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $141.25 Typical High $144.54 | Professional | FX · Film X-ray | $128.82 | $141.25 | $144.54 |
Where Kentucky sits
The same service costs 5.8 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· 49th of 51
$158
AK $589UT $102
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.