How much rates vary
Facilitymedian $79 · 10th to 90th $35 to $347Professionalmedian $46 · 10th to 90th $32 to $229
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 $33.11 Median $42.66 Typical High $50.12 | Facility | None | $33.11 | $42.66 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $34.67 Typical High $61.66 | Professional | None (both parts) | $30.90 | $34.67 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $15.85 | Professional | 26 · Professional part | $7.59 | $8.71 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $22.91 | $25.12 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $27.54 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $51.29 Typical High $66.07 | Professional | None (both parts) | $34.67 | $51.29 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $11.75 | $16.22 | $22.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $32.36 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $32.36 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $66.07 | Facility | None | $26.92 | $35.48 | $66.07 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $37.15 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $37.15 | $38.90 | $51.29 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $9.33 | $9.77 | $15.14 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $26.92 | $29.51 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $104.71 Typical High $457.09 | Facility | None | $63.10 | $104.71 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $25.70 | $36.31 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $6.46 | $10.96 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $19.50 | $26.92 | $50.12 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $75.86 Typical High $346.74 | Facility | None | $37.15 | $75.86 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $36.31 | $229.09 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $11.22 | $77.62 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $25.70 | $213.80 | $213.80 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
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 $34.67 Median $41.69 Typical High $66.07 | Professional | None (both parts) | $34.67 | $41.69 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $12.30 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $50.12 | Professional | TC · Technical part | $23.99 | $28.84 | $50.12 |
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 $15.14 Median $16.60 Typical High $19.05 | Professional | 52 · Reduced service | $15.14 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $6.03 | $6.76 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $26.92 Typical High $30.20 | Professional | FX · Film X-ray | $25.12 | $26.92 | $30.20 |
Where Missouri sits
The same service costs 3.6 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· 19th of 51
$46.77
AK $105FL $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.