How much rates vary
Facilitymedian $1,698 · 10th to 90th $550 to $3,311Professionalmedian $1,778 · 10th to 90th $1,413 to $3,311
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 $1,621.81 Median $1,698.24 Typical High $3,090.30 | Facility | None | $1,621.81 | $1,698.24 | $3,090.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $407.38 Median $416.87 Typical High $691.83 | Facility | 26 · Professional part | $407.38 | $416.87 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $1,288.25 Typical High $2,691.53 | Facility | TC · Technical part | $1,122.02 | $1,288.25 | $2,691.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,778.28 Typical High $3,467.37 | Professional | None (both parts) | $1,621.81 | $1,778.28 | $3,467.37 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $416.87 Typical High $724.44 | Professional | 26 · Professional part | $371.54 | $416.87 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,380.38 Typical High $2,818.38 | Professional | TC · Technical part | $1,258.93 | $1,380.38 | $2,818.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,412.54 | $1,778.28 | $1,778.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $467.74 | $562.34 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,778.28 Typical High $2,630.27 | Professional | None (both parts) | $1,513.56 | $1,778.28 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $446.68 Typical High $630.96 | Professional | 26 · Professional part | $346.74 | $446.68 | $630.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,318.26 Typical High $2,041.74 | Professional | TC · Technical part | $1,148.15 | $1,318.26 | $2,041.74 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $1,258.93 Typical High $2,187.76 | Facility | None | $398.11 | $1,258.93 | $2,187.76 |
CareSource Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,348.96 Typical High $2,238.72 | Professional | None (both parts) | $426.58 | $1,348.96 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $5,011.87 | Facility | None | $3,090.30 | $3,090.30 | $5,011.87 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $104.71 Median $489.78 Typical High $707.95 | Facility | 26 · Professional part | $104.71 | $489.78 | $707.95 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $1,659.59 Typical High $2,398.83 | Facility | TC · Technical part | $363.08 | $1,659.59 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $3,548.13 Typical High $9,549.93 | Professional | None (both parts) | $1,659.59 | $3,548.13 | $9,549.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $776.25 Typical High $2,041.74 | Professional | 26 · Professional part | $398.11 | $776.25 | $2,041.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $2,818.38 Typical High $7,413.10 | Professional | TC · Technical part | $1,258.93 | $2,818.38 | $7,413.10 |
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 $1,621.81 Median $1,949.84 Typical High $2,754.23 | Professional | None (both parts) | $1,621.81 | $1,949.84 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $426.58 Typical High $616.60 | Professional | 26 · Professional part | $363.08 | $426.58 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,584.89 Typical High $2,187.76 | Professional | TC · Technical part | $1,202.26 | $1,584.89 | $2,187.76 |
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 $776.25 Median $851.14 Typical High $1,096.48 | Professional | 52 · Reduced service | $776.25 | $851.14 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $309.03 Median $338.84 Typical High $446.68 | Professional | 53 · Discontinued | $309.03 | $338.84 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,318.26 Median $1,348.96 Typical High $1,380.38 | Professional | FX · Film X-ray | $1,318.26 | $1,348.96 | $1,380.38 |
Where Kentucky sits
The same service costs 4.4 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· 46th of 51
$1,778
AK $6,918FL $1,585
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.