How much rates vary
Facilitymedian $98 · 10th to 90th $51 to $174Professionalmedian $126 · 10th to 90th $91 to $347
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 $91.20 Median $100.00 Typical High $173.78 | Facility | None | $91.20 | $100.00 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $131.83 | Professional | None (both parts) | $91.20 | $100.00 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $61.66 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $37.15 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $97.72 | $109.65 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $89.13 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.89 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $20.89 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $60.26 Typical High $109.65 | Facility | None | $35.48 | $60.26 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $38.90 | $50.12 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $169.82 Typical High $302.00 | Facility | None | $97.72 | $169.82 | $302.00 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $15.85 Median $74.13 Typical High $107.15 | Facility | 26 · Professional part | $15.85 | $74.13 | $107.15 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $44.67 Typical High $64.57 | Facility | TC · Technical part | $9.77 | $44.67 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $295.12 Typical High $645.65 | Professional | None (both parts) | $97.72 | $295.12 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $158.49 Typical High $489.78 | Professional | 26 · Professional part | $61.66 | $158.49 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $109.65 Typical High $309.03 | Professional | TC · Technical part | $36.31 | $109.65 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $33.11 | $33.11 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $104.71 | $229.09 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $117.49 | Professional | 26 · Professional part | $67.61 | $85.11 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $138.04 | $257.04 |
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 $45.71 Median $50.12 Typical High $66.07 | Professional | 52 · Reduced service | $45.71 | $50.12 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $26.30 | Professional | 53 · Discontinued | $18.20 | $19.95 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $74.13 Typical High $79.43 | Professional | FX · Film X-ray | $72.44 | $74.13 | $79.43 |
Where Kentucky sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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
$120
NE $537NJ $115
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.