How much rates vary
Facilitymedian $871 · 10th to 90th $417 to $1,514Professionalmedian $891 · 10th to 90th $661 to $1,622
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 $870.96 Median $870.96 Typical High $912.01 | Facility | None | $870.96 | $870.96 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $870.96 Typical High $1,122.02 | Professional | None (both parts) | $794.33 | $870.96 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $457.09 Typical High $691.83 | Professional | 26 · Professional part | $426.58 | $457.09 | $691.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $309.03 | $416.87 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $660.69 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $660.69 | $891.25 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $630.96 Typical High $831.76 | Professional | 26 · Professional part | $407.38 | $630.96 | $831.76 |
Anthem BCBS Setting Professional Modifier 80 · Assistant surgeon Typical Low $104.71 Median $141.25 Typical High $194.98 | Professional | 80 · Assistant surgeon | $104.71 | $141.25 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $281.84 | $436.52 |
CareSource Setting Facility Modifier None Typical Low $363.08 Median $457.09 Typical High $954.99 | Facility | None | $363.08 | $457.09 | $954.99 |
CareSource Setting Professional Modifier None (both parts) Typical Low $389.05 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $389.05 | $537.03 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,513.56 Typical High $1,659.59 | Facility | None | $1,096.48 | $1,513.56 | $1,659.59 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $114.82 Median $537.03 Typical High $776.25 | Facility | 26 · Professional part | $114.82 | $537.03 | $776.25 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $512.86 Typical High $741.31 | Facility | TC · Technical part | $109.65 | $512.86 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,479.11 Typical High $4,466.84 | Professional | None (both parts) | $851.14 | $1,479.11 | $4,466.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $1,071.52 Typical High $2,630.27 | Professional | 26 · Professional part | $436.52 | $1,071.52 | $2,630.27 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $676.08 Typical High $2,290.87 | Professional | TC · Technical part | $251.19 | $676.08 | $2,290.87 |
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 $724.44 Median $891.25 Typical High $1,288.25 | Professional | None (both parts) | $724.44 | $891.25 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $562.34 Typical High $741.31 | Professional | 26 · Professional part | $446.68 | $562.34 | $741.31 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $323.59 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $323.59 | $562.34 |
4 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 $398.11 Median $436.52 Typical High $562.34 | Professional | 52 · Reduced service | $398.11 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $173.78 Typical High $223.87 | Professional | 53 · Discontinued | $158.49 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $549.54 Median $616.60 Typical High $776.25 | Professional | 78 · Unplanned return to OR | $549.54 | $616.60 | $776.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $660.69 Median $691.83 Typical High $691.83 | Professional | FX · Film X-ray | $660.69 | $691.83 | $691.83 |
Where Kentucky sits
The same service costs 5.6 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· 45th of 51
$891
AK $3,715FL $661
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.