How much rates vary
Facilitymedian $115 · 10th to 90th $52 to $195Professionalmedian $102 · 10th to 90th $78 to $174
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 $104.71 Median $107.15 Typical High $154.88 | Facility | None | $104.71 | $107.15 | $154.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $104.71 | Facility | TC · Technical part | $61.66 | $74.13 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $100.00 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $34.67 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $81.28 | $114.82 |
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 $75.86 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $75.86 | $93.33 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $47.86 | $56.23 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $87.10 Typical High $134.90 | Facility | None | $32.36 | $87.10 | $134.90 |
CareSource Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $29.51 | $42.66 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $346.74 | Facility | None | $173.78 | $194.98 | $346.74 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.71 Median $40.74 Typical High $57.54 | Facility | 26 · Professional part | $8.71 | $40.74 | $57.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $97.72 Typical High $138.04 | Facility | TC · Technical part | $20.89 | $97.72 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $588.84 | Professional | None (both parts) | $104.71 | $162.18 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $46.77 Typical High $177.83 | Professional | 26 · Professional part | $33.11 | $46.77 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $426.58 | Professional | TC · Technical part | $69.18 | $117.49 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None (both parts) | $33.11 | $33.11 | $39.81 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $102.33 | $131.83 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $38.02 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $95.50 | $131.83 |
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 $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $48.98 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $19.95 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $93.33 | Professional | FX · Film X-ray | $83.18 | $91.20 | $93.33 |
Where Kentucky sits
The same service costs 3.7 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· 49th of 51
$102
AK $363TX $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.