How much rates vary
Facilitymedian $105 · 10th to 90th $45 to $186Professionalmedian $112 · 10th to 90th $78 to $158
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 $95.50 Median $104.71 Typical High $107.15 | Facility | None | $95.50 | $104.71 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $95.50 | $104.71 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $30.90 | $33.11 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $70.79 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $87.10 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $141.25 | Professional | None (both parts) | $93.33 | $114.82 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $37.15 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $81.28 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $134.90 | Facility | None | $32.36 | $77.62 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $31.62 | $72.44 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $478.63 | Facility | None | $186.21 | $186.21 | $478.63 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $40.74 Typical High $58.88 | Facility | 26 · Professional part | $8.71 | $40.74 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $89.13 Typical High $128.82 | Facility | TC · Technical part | $19.05 | $89.13 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $141.25 Typical High $562.34 | Professional | None (both parts) | $97.72 | $141.25 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $169.82 | Professional | 26 · Professional part | $33.11 | $45.71 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $398.11 | Professional | TC · Technical part | $63.10 | $97.72 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $93.33 | $114.82 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $31.62 | $36.31 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $79.43 | $109.65 |
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 $47.86 Median $52.48 Typical High $53.70 | Professional | 52 · Reduced service | $47.86 | $52.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $21.38 | Professional | 53 · Discontinued | $19.05 | $20.89 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $83.18 Typical High $87.10 | Professional | FX · Film X-ray | $75.86 | $83.18 | $87.10 |
Where Kentucky sits
The same service costs 3.9 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
$112
AK $347TX $89.13
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.