How much rates vary
Facilitymedian $110 · 10th to 90th $50 to $195Professionalmedian $132 · 10th to 90th $105 to $186
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 $100.00 Median $109.65 Typical High $147.91 | Facility | None | $100.00 | $109.65 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $97.72 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $54.95 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $48.98 | Professional | TC · Technical part | $42.66 | $47.86 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $114.82 | $134.90 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $67.61 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $52.48 | $63.10 | $85.11 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $72.44 Typical High $229.09 | Facility | None | $46.77 | $72.44 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $40.74 | $57.54 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $16.22 Median $75.86 Typical High $107.15 | Facility | 26 · Professional part | $16.22 | $75.86 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $12.88 Median $60.26 Typical High $85.11 | Facility | TC · Technical part | $12.88 | $60.26 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $575.44 | Professional | None (both parts) | $107.15 | $123.03 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $331.13 | Professional | 26 · Professional part | $60.26 | $72.44 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $263.03 | Professional | TC · Technical part | $46.77 | $53.70 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $109.65 | $117.49 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $64.57 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $54.95 | $72.44 |
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 $54.95 Typical High $54.95 | Professional | 52 · Reduced service | $48.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $19.50 | $21.88 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $87.10 Typical High $89.13 | Professional | FX · Film X-ray | $81.28 | $87.10 | $89.13 |
Where Kentucky sits
The same service costs 4.5 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· 36th of 51
$132
AK $372FL $83.18
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.