How much rates vary
Facilitymedian $93 · 10th to 90th $38 to $347Professionalmedian $44 · 10th to 90th $31 to $251
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 $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $35.48 Typical High $40.74 | Professional | None (both parts) | $31.62 | $35.48 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $9.33 | Professional | 26 · Professional part | $7.59 | $8.32 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $31.62 | Professional | TC · Technical part | $24.55 | $27.54 | $31.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $66.07 | Professional | None (both parts) | $30.90 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $9.12 | $13.49 | $17.38 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $75.86 Typical High $100.00 | Professional | 50 · Both sides | $46.77 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $21.88 | $34.67 | $50.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $26.92 Median $38.02 Typical High $66.07 | Facility | None | $26.92 | $38.02 | $66.07 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $38.90 | $42.66 | $52.48 |
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 $29.51 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $29.51 | $32.36 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $114.82 Typical High $457.09 | Facility | None | $64.57 | $114.82 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $70.79 | Professional | None (both parts) | $27.54 | $38.02 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $9.33 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $54.95 | Professional | TC · Technical part | $20.42 | $28.18 | $54.95 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $81.28 Typical High $346.74 | Facility | None | $39.81 | $81.28 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $36.31 | $251.19 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $9.55 | $54.95 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $26.92 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $41.69 Typical High $70.79 | Professional | None (both parts) | $33.88 | $41.69 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $8.91 | $10.47 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $30.90 | $54.95 |
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 $15.85 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $15.85 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $8.13 | Professional | 53 · Discontinued | $6.31 | $7.08 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $28.18 Typical High $32.36 | Professional | FX · Film X-ray | $26.92 | $28.18 | $32.36 |
Where Missouri sits
The same service costs 3.9 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.
Missouri· 25th of 51
$44.67
AK $112FL $28.84
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.