How much rates vary
Facilitymedian $76 · 10th to 90th $31 to $288Professionalmedian $36 · 10th to 90th $27 to $209
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 $28.18 Median $33.11 Typical High $45.71 | Facility | None | $28.18 | $33.11 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $46.77 | Professional | None (both parts) | $26.92 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $7.59 | $8.32 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $22.39 | $33.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $56.23 | Professional | None (both parts) | $26.92 | $38.02 | $56.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $13.18 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $57.54 Typical High $83.18 | Professional | 50 · Both sides | $39.81 | $57.54 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $23.99 | $39.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $44.67 | Facility | None | $17.78 | $25.12 | $44.67 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $43.65 | Professional | None (both parts) | $33.11 | $35.48 | $43.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $9.33 | $9.77 | $12.59 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $25.70 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $239.88 | Facility | None | $51.29 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $23.44 | $31.62 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $16.22 | Professional | 26 · Professional part | $6.17 | $8.71 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $44.67 | Professional | TC · Technical part | $16.60 | $22.91 | $44.67 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $70.79 Typical High $346.74 | Facility | None | $33.88 | $70.79 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $29.51 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $8.51 | $83.18 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $21.38 | $154.88 | $154.88 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $16.22 | $16.22 | $24.55 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $28.18 | $33.88 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $9.77 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $23.99 | $43.65 |
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 $13.18 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $6.17 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $22.91 | $24.55 | $27.54 |
Where Missouri sits
The same service costs 4.1 times more in Alaska than in New York. 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.
Missouri· 26th of 51
$37.15
AK $95.50NY $23.44
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.