How much rates vary
Facilitymedian $117 · 10th to 90th $66 to $224Professionalmedian $120 · 10th to 90th $79 to $209
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 $107.15 Median $117.49 Typical High $223.87 | Facility | None | $107.15 | $117.49 | $223.87 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $48.98 | Facility | 26 · Professional part | $32.36 | $35.48 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $128.82 | Facility | TC · Technical part | $75.86 | $83.18 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $107.15 | $120.23 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $35.48 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $83.18 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $95.50 | $147.91 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $30.20 | $36.31 | $42.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $64.57 | $87.10 | $93.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $104.71 | $109.65 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $30.90 | $31.62 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $77.62 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $81.28 Typical High $151.36 | Facility | None | $33.88 | $81.28 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $33.88 | $87.10 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $199.53 Typical High $323.59 | Facility | None | $173.78 | $199.53 | $323.59 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $41.69 Typical High $58.88 | Facility | 26 · Professional part | $8.91 | $41.69 | $58.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $100.00 Typical High $141.25 | Facility | TC · Technical part | $21.38 | $100.00 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $602.56 | Professional | None (both parts) | $114.82 | $177.83 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $169.82 | Professional | 26 · Professional part | $34.67 | $51.29 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $436.52 | Professional | TC · Technical part | $81.28 | $125.89 | $436.52 |
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 $125.89 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $125.89 | $147.91 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $42.66 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $89.13 | $104.71 | $138.04 |
2 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 FX · Film X-ray Typical Low $87.10 Median $93.33 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $93.33 | $97.72 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $42.66 | $42.66 | $42.66 |
Where Kentucky sits
The same service costs 5.4 times more in Vermont 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· 47th of 51
$120
VT $550TX $102
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.