How much rates vary
Facilitymedian $74 · 10th to 90th $40 to $141Professionalmedian $83 · 10th to 90th $49 to $129
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 $69.18 Median $74.13 Typical High $141.25 | Facility | None | $69.18 | $74.13 | $141.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $54.95 | Facility | 26 · Professional part | $27.54 | $30.20 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $87.10 | Facility | TC · Technical part | $40.74 | $44.67 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $69.18 | $74.13 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $30.20 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $44.67 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $52.48 | $112.20 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $67.61 | $87.10 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $35.48 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $39.81 | $51.29 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $95.50 | Facility | None | $28.84 | $45.71 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $28.84 Median $45.71 Typical High $81.28 | Professional | None (both parts) | $28.84 | $45.71 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $131.83 Typical High $213.80 | Facility | None | $117.49 | $131.83 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $36.31 Typical High $52.48 | Facility | 26 · Professional part | $7.76 | $36.31 | $52.48 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $11.75 Median $54.95 Typical High $79.43 | Facility | TC · Technical part | $11.75 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $109.65 Typical High $389.05 | Professional | None (both parts) | $74.13 | $109.65 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $154.88 | Professional | 26 · Professional part | $29.51 | $41.69 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $245.47 | Professional | TC · Technical part | $44.67 | $67.61 | $245.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $33.11 | $33.11 | $38.02 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $120.23 | Professional | None (both parts) | $72.44 | $85.11 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $32.36 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $53.70 | $72.44 |
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 $33.88 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $33.88 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.14 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $15.14 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | FX · Film X-ray | $54.95 | $60.26 | $60.26 |
Where Kentucky sits
The same service costs 3.6 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· 44th of 51
$83.18
AK $245TX $67.61
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.