How much rates vary
Facilitymedian $35 · 10th to 90th $18 to $65Professionalmedian $34 · 10th to 90th $14 to $50
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 $32.36 Median $35.48 Typical High $58.88 | Facility | None | $32.36 | $35.48 | $58.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $24.55 | Facility | 26 · Professional part | $12.02 | $13.18 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $22.39 Typical High $41.69 | Facility | TC · Technical part | $19.95 | $22.39 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.90 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $13.18 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $22.39 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None (both parts) | $29.51 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $18.62 | Professional | 26 · Professional part | $13.49 | $16.60 | $18.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $14.45 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $14.45 | $33.11 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.22 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $16.22 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | TC · Technical part | $15.14 | $19.05 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $28.84 Typical High $57.54 | Facility | None | $12.88 | $28.84 | $57.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.59 Median $22.91 Typical High $38.90 | Professional | None (both parts) | $12.59 | $22.91 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $3.47 Median $16.22 Typical High $23.44 | Facility | 26 · Professional part | $3.47 | $16.22 | $23.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $6.31 Median $28.84 Typical High $41.69 | Facility | TC · Technical part | $6.31 | $28.84 | $41.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $194.98 | Professional | None (both parts) | $32.36 | $42.66 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.50 Typical High $70.79 | Professional | 26 · Professional part | $13.18 | $19.50 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $24.55 Typical High $128.82 | Professional | TC · Technical part | $17.38 | $24.55 | $128.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $12.88 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $30.20 | $34.67 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $15.49 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $28.18 | Professional | TC · Technical part | $16.60 | $19.05 | $28.18 |
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 $16.22 Median $17.78 Typical High $18.20 | Professional | 52 · Reduced service | $16.22 | $17.78 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $7.08 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $28.18 Typical High $28.84 | Professional | FX · Film X-ray | $25.70 | $28.18 | $28.84 |
Where Kentucky sits
The same service costs 4.1 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· 48th of 51
$33.88
AK $117FL $28.84
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.