How much rates vary
Facilitymedian $74 · 10th to 90th $33 to $288Professionalmedian $39 · 10th to 90th $28 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 $31.62 Typical High $63.10 | Facility | None | $28.18 | $31.62 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $27.54 | $30.20 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $7.94 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $21.88 Typical High $34.67 | Professional | TC · Technical part | $19.95 | $21.88 | $34.67 |
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 $28.84 Median $46.77 Typical High $57.54 | Professional | None (both parts) | $28.84 | $46.77 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $12.88 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $28.84 | $40.74 |
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 $33.11 Median $35.48 Typical High $45.71 | Professional | None (both parts) | $33.11 | $35.48 | $45.71 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $9.12 | $9.33 | $12.30 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $32.36 | Professional | TC · Technical part | $23.99 | $25.70 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $239.88 | Facility | None | $56.23 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $23.44 | $32.36 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $16.98 | $23.99 | $43.65 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $69.18 Typical High $346.74 | Facility | None | $33.11 | $69.18 | $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 $8.71 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $8.71 | $66.07 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $22.39 | $186.21 | $186.21 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $47.86 | $47.86 | $56.23 |
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 $29.51 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $29.51 | $35.48 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $10.23 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $21.38 | $25.70 | $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 $13.49 Median $15.14 Typical High $16.98 | Professional | 52 · Reduced service | $13.49 | $15.14 | $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 3.5 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
$39.81
AK $87.10FL $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.