How much rates vary
Facilitymedian $69 · 10th to 90th $33 to $288Professionalmedian $37 · 10th to 90th $26 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 $36.31 Typical High $46.77 | Facility | None | $28.18 | $36.31 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $27.54 | $29.51 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $15.14 | Professional | 26 · Professional part | $8.51 | $9.33 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.42 Typical High $31.62 | Professional | TC · Technical part | $18.62 | $20.42 | $31.62 |
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 $19.05 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $19.05 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $14.13 | $19.05 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.20 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $30.20 | $39.81 |
BCBS Kansas City Setting Facility Modifier None Typical Low $26.92 Median $33.88 Typical High $66.07 | Facility | None | $26.92 | $33.88 | $66.07 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $32.36 | $34.67 | $44.67 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $10.47 | $10.96 | $14.13 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $29.51 | Professional | TC · Technical part | $21.88 | $23.99 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $239.88 | Facility | None | $51.29 | $87.10 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $22.91 | $32.36 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $18.20 | Professional | 26 · Professional part | $6.92 | $10.23 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $22.39 | $40.74 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $67.61 Typical High $346.74 | Facility | None | $33.11 | $67.61 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $31.62 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $10.23 | $77.62 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $21.38 | $194.98 | $194.98 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None (both parts) | $53.70 | $53.70 | $54.95 |
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 $30.20 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $30.20 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $18.62 | Professional | 26 · Professional part | $9.77 | $11.75 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $20.42 | $23.44 | $41.69 |
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 $14.79 Typical High $16.98 | Professional | 52 · Reduced service | $13.18 | $14.79 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.76 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $23.99 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $23.99 | $27.54 |
Where Missouri sits
The same service costs 3.8 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· 27th of 51
$38.02
AK $95.50FL $25.12
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.