How much rates vary
Facilitymedian $91 · 10th to 90th $44 to $174Professionalmedian $89 · 10th to 90th $74 to $145
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 $83.18 Median $91.20 Typical High $144.54 | Facility | None | $83.18 | $91.20 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $45.71 | Facility | 26 · Professional part | $26.30 | $28.84 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $102.33 | Facility | TC · Technical part | $57.54 | $61.66 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $112.20 | Professional | None (both parts) | $83.18 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $28.84 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $72.44 | $87.10 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $25.12 | $32.36 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $79.43 | Professional | TC · Technical part | $47.86 | $56.23 | $79.43 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $60.26 Typical High $100.00 | Facility | None | $27.54 | $60.26 | $100.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $37.15 Typical High $44.67 | Professional | None (both parts) | $27.54 | $37.15 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $245.47 | Facility | None | $154.88 | $154.88 | $245.47 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $7.24 Median $33.88 Typical High $48.98 | Facility | 26 · Professional part | $7.24 | $33.88 | $48.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $74.13 Typical High $107.15 | Facility | TC · Technical part | $15.85 | $74.13 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $120.23 Typical High $467.74 | Professional | None (both parts) | $87.10 | $120.23 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $147.91 | Professional | 26 · Professional part | $28.18 | $39.81 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $331.13 | Professional | TC · Technical part | $57.54 | $83.18 | $331.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $37.15 | Professional | None (both parts) | $33.11 | $33.11 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $85.11 | $104.71 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $31.62 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $56.23 | $75.86 | $95.50 |
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 $41.69 Median $45.71 Typical High $47.86 | Professional | 52 · Reduced service | $41.69 | $45.71 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.20 Typical High $19.05 | Professional | 53 · Discontinued | $16.60 | $18.20 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $72.44 Typical High $74.13 | Professional | FX · Film X-ray | $66.07 | $72.44 | $74.13 |
Where Kentucky sits
The same service costs 4.2 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
$89.13
AK $302UT $72.44
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.