How much rates vary
Facilitymedian $100 · 10th to 90th $47 to $347Professionalmedian $58 · 10th to 90th $40 to $316
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 $38.90 Median $46.77 Typical High $63.10 | Facility | None | $38.90 | $46.77 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $38.02 | $42.66 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $23.44 | Professional | 26 · Professional part | $11.75 | $13.49 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $48.98 | Professional | TC · Technical part | $26.30 | $28.84 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $19.05 | $25.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $67.61 Typical High $89.13 | Professional | None (both parts) | $43.65 | $67.61 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $16.98 | $23.44 | $32.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $26.30 | $43.65 | $56.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.90 Median $48.98 Typical High $95.50 | Facility | None | $38.90 | $48.98 | $95.50 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $45.71 Median $47.86 Typical High $61.66 | Professional | None (both parts) | $45.71 | $47.86 | $61.66 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $14.13 | $14.45 | $22.39 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $30.20 | $33.11 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $120.23 Typical High $457.09 | Facility | None | $77.62 | $120.23 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $32.36 | $45.71 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $9.77 | $15.49 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $31.62 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $31.62 | $57.54 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $95.50 Typical High $346.74 | Facility | None | $46.77 | $95.50 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $46.77 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $46.77 | $316.23 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $15.85 | $107.15 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $30.20 | $295.12 | $295.12 |
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 $43.65 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $43.65 | $51.29 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.38 Typical High $26.30 | Professional | 26 · Professional part | $14.13 | $17.38 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $57.54 | Professional | TC · Technical part | $28.18 | $33.88 | $57.54 |
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 $19.05 Median $20.89 Typical High $23.44 | Professional | 52 · Reduced service | $19.05 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $9.33 | Professional | 53 · Discontinued | $7.59 | $8.32 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $33.11 Typical High $38.02 | Professional | FX · Film X-ray | $30.90 | $33.11 | $38.02 |
Where Missouri sits
The same service costs 4.0 times more in Alaska than in Utah. 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· 23rd of 51
$57.54
AK $132UT $33.11
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.