How much rates vary
Facilitymedian $63 · 10th to 90th $35 to $123Professionalmedian $66 · 10th to 90th $43 to $148
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 $58.88 Median $63.10 Typical High $112.20 | Facility | None | $58.88 | $63.10 | $112.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $48.98 | Facility | 26 · Professional part | $24.55 | $26.92 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $72.44 | Facility | TC · Technical part | $33.88 | $37.15 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $107.15 | Professional | None (both parts) | $58.88 | $63.10 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $24.55 | $26.92 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $70.79 | Professional | TC · Technical part | $33.88 | $37.15 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $60.26 | $67.61 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $31.62 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.02 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $38.02 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $40.74 Typical High $81.28 | Facility | None | $25.70 | $40.74 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $25.70 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $25.70 | $38.90 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $112.20 Typical High $213.80 | Facility | None | $97.72 | $112.20 | $213.80 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $6.92 Median $32.36 Typical High $46.77 | Facility | 26 · Professional part | $6.92 | $32.36 | $46.77 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $10.00 Median $45.71 Typical High $66.07 | Facility | TC · Technical part | $10.00 | $45.71 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $426.58 | Professional | None (both parts) | $63.10 | $100.00 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $138.04 | Professional | 26 · Professional part | $26.30 | $38.90 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $66.07 Typical High $204.17 | Professional | TC · Technical part | $37.15 | $66.07 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $33.11 | $33.11 | $46.77 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $60.26 | $72.44 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $42.66 | Professional | 26 · Professional part | $25.12 | $28.84 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $33.88 | $45.71 | $69.18 |
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 $29.51 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $29.51 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $11.75 | $12.88 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | FX · Film X-ray | $46.77 | $51.29 | $52.48 |
Where Kentucky sits
The same service costs 4.4 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· 47th of 51
$66.07
AK $214UT $48.98
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.