How much rates vary
Facilitymedian $126 · 10th to 90th $43 to $219Professionalmedian $76 · 10th to 90th $55 to $229
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 $123.03 Median $125.89 Typical High $128.82 | Facility | None | $123.03 | $125.89 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $63.10 | $125.89 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $64.57 | Professional | 26 · Professional part | $36.31 | $38.90 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $85.11 Typical High $120.23 | Professional | TC · Technical part | $19.95 | $85.11 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $67.61 Typical High $169.82 | Professional | None (both parts) | $54.95 | $67.61 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $46.77 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $20.42 Typical High $104.71 | Professional | TC · Technical part | $9.55 | $20.42 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $138.04 | Facility | None | $37.15 | $85.11 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $36.31 | $51.29 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $338.84 | Facility | None | $218.78 | $218.78 | $338.84 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $45.71 Typical High $66.07 | Facility | 26 · Professional part | $9.77 | $45.71 | $66.07 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $107.15 Typical High $154.88 | Facility | TC · Technical part | $22.91 | $107.15 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $208.93 Typical High $660.69 | Professional | None (both parts) | $85.11 | $208.93 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $37.15 | $79.43 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $144.54 Typical High $478.63 | Professional | TC · Technical part | $30.20 | $144.54 | $478.63 |
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 $63.10 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $63.10 | $102.33 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $44.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $16.22 | $64.57 | $117.49 |
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 $56.23 Median $63.10 Typical High $85.11 | Professional | 52 · Reduced service | $56.23 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $25.12 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $97.72 | $100.00 | $100.00 |
Where Kentucky sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 50th of 51
$83.18
AK $525MI $75.86
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.