How much rates vary
Facilitymedian $63 · 10th to 90th $30 to $110Professionalmedian $72 · 10th to 90th $49 to $132
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 $61.66 Median $63.10 Typical High $112.20 | Facility | None | $61.66 | $63.10 | $112.20 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $53.70 | Facility | 26 · Professional part | $31.62 | $32.36 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.90 Typical High $60.26 | Facility | TC · Technical part | $30.20 | $30.90 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $58.88 | $67.61 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $32.36 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $33.88 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $50.12 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $25.12 | $39.81 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $72.44 Typical High $123.03 | Professional | None (both parts) | $52.48 | $72.44 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $34.67 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $74.13 | Professional | TC · Technical part | $30.90 | $37.15 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $29.51 Median $40.74 Typical High $81.28 | Facility | None | $29.51 | $40.74 | $81.28 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.90 Median $41.69 Typical High $83.18 | Professional | None (both parts) | $30.90 | $41.69 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $109.65 Typical High $120.23 | Facility | None | $79.43 | $109.65 | $120.23 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $8.32 Median $38.02 Typical High $54.95 | Facility | 26 · Professional part | $8.32 | $38.02 | $54.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $7.94 Median $37.15 Typical High $53.70 | Facility | TC · Technical part | $7.94 | $37.15 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $131.83 Typical High $363.08 | Professional | None (both parts) | $60.26 | $131.83 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $158.49 | Professional | 26 · Professional part | $30.90 | $60.26 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $29.51 | $87.10 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $33.11 | $33.11 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $63.10 | $72.44 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $47.86 | Professional | 26 · Professional part | $28.18 | $33.11 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $54.95 | Professional | TC · Technical part | $31.62 | $39.81 | $54.95 |
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 $28.18 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $11.48 | $12.59 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $47.86 | $50.12 | $50.12 |
Where Kentucky sits
The same service costs 4.7 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· 43rd of 51
$72.44
AK $257FL $54.95
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.