How much rates vary
Facilitymedian $7 · 10th to 90th $3 to $37Professionalmedian $8 · 10th to 90th $4 to $81
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 $6.17 Median $6.76 Typical High $37.15 | Facility | None | $6.17 | $6.76 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.76 Typical High $9.55 | Professional | None (both parts) | $6.03 | $6.76 | $9.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.57 Typical High $3.47 | Professional | 26 · Professional part | $2.29 | $2.57 | $3.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.17 Typical High $5.25 | Professional | TC · Technical part | $3.63 | $4.17 | $5.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3.80 Median $6.61 Typical High $81.28 | Professional | None (both parts) | $3.80 | $6.61 | $81.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.95 Typical High $4.17 | Professional | 26 · Professional part | $2.29 | $2.95 | $4.17 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $8.51 Typical High $75.86 | Professional | TC · Technical part | $3.55 | $8.51 | $75.86 |
CareSource Setting Facility Modifier None Typical Low $2.34 Median $4.17 Typical High $7.41 | Facility | None | $2.34 | $4.17 | $7.41 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2.24 Median $3.39 Typical High $3.98 | Professional | None (both parts) | $2.24 | $3.39 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $12.30 Typical High $33.88 | Facility | None | $10.96 | $12.30 | $33.88 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $0.68 Median $3.16 Typical High $4.47 | Facility | 26 · Professional part | $0.68 | $3.16 | $4.47 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1.17 Median $5.50 Typical High $7.76 | Facility | TC · Technical part | $1.17 | $5.50 | $7.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $21.38 Typical High $147.91 | Professional | None (both parts) | $6.61 | $21.38 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $4.27 Typical High $13.18 | Professional | 26 · Professional part | $2.51 | $4.27 | $13.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $18.20 Typical High $75.86 | Professional | TC · Technical part | $4.07 | $18.20 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $7.08 Median $10.23 Typical High $32.36 | Professional | None (both parts) | $7.08 | $10.23 | $32.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.45 Median $2.82 Typical High $4.17 | Professional | 26 · Professional part | $2.45 | $2.82 | $4.17 |
United Setting Professional Modifier TC · Technical part Typical Low $4.17 Median $6.92 Typical High $28.18 | Professional | TC · Technical part | $4.17 | $6.92 | $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 $3.02 Median $3.39 Typical High $4.37 | Professional | 52 · Reduced service | $3.02 | $3.39 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.35 Typical High $1.74 | Professional | 53 · Discontinued | $1.20 | $1.35 | $1.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.90 Median $5.37 Typical High $5.50 | Professional | FX · Film X-ray | $4.90 | $5.37 | $5.50 |
Where Kentucky sits
The same service costs 4.2 times more in Kansas 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· 49th of 51
$7.41
KS $23.99FL $5.75
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.