How much rates vary
Facilitymedian $107 · 10th to 90th $49 to $209Professionalmedian $100 · 10th to 90th $60 to $162
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 $97.72 Median $107.15 Typical High $208.93 | Facility | None | $97.72 | $107.15 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $58.88 | Facility | 26 · Professional part | $29.51 | $32.36 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $147.91 | Facility | TC · Technical part | $61.66 | $75.86 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $204.17 | Professional | None (both parts) | $97.72 | $107.15 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $32.36 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $69.18 | $75.86 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $91.20 | $117.49 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $38.90 | $38.90 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $87.10 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $60.26 | $95.50 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $36.31 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $37.15 | $61.66 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $30.90 Median $75.86 Typical High $138.04 | Facility | None | $30.90 | $75.86 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $30.90 | $77.62 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $302.00 | Facility | None | $186.21 | $186.21 | $302.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $38.02 Typical High $54.95 | Facility | 26 · Professional part | $8.13 | $38.02 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $93.33 Typical High $131.83 | Facility | TC · Technical part | $19.95 | $93.33 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $141.25 Typical High $562.34 | Professional | None (both parts) | $95.50 | $141.25 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $162.18 | Professional | 26 · Professional part | $30.90 | $43.65 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $100.00 Typical High $407.38 | Professional | TC · Technical part | $66.07 | $100.00 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $33.11 | $33.11 | $41.69 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $93.33 | $112.20 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $30.90 | $34.67 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $63.10 | $81.28 | $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 $48.98 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $21.38 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $79.43 | $87.10 | $89.13 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 50th of 51
$100
AK $355FL $97.72
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.