How much rates vary
Facilitymedian $102 · 10th to 90th $38 to $759Professionalmedian $42 · 10th to 90th $32 to $245
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 $47.86 Typical High $56.23 | Facility | None | $33.88 | $47.86 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $38.02 Typical High $41.69 | Professional | None (both parts) | $31.62 | $38.02 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $8.32 | Professional | 26 · Professional part | $6.61 | $7.59 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $30.20 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $33.88 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $12.02 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.84 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $28.84 | $52.48 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $47.86 | Facility | None | $17.78 | $25.12 | $47.86 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $43.65 Median $46.77 Typical High $56.23 | Professional | None (both parts) | $43.65 | $46.77 | $56.23 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $8.71 | $8.91 | $11.75 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $34.67 | $37.15 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $125.89 Typical High $1,819.70 | Facility | None | $72.44 | $125.89 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $74.13 | Professional | None (both parts) | $27.54 | $38.02 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $8.32 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $30.90 | $58.88 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $87.10 Typical High $724.44 | Facility | None | $38.02 | $87.10 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $38.90 | $245.47 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $8.51 | $56.23 | $56.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $30.20 | $194.98 | $194.98 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $33.88 | $42.66 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.33 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $9.33 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $33.11 | $58.88 |
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 $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $15.85 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.59 Typical High $8.32 | Professional | 53 · Discontinued | $6.31 | $7.59 | $8.32 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $30.20 Typical High $33.11 | Professional | FX · Film X-ray | $27.54 | $30.20 | $33.11 |
Where Missouri sits
The same service costs 3.6 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· 31st of 51
$42.66
AK $115UT $31.62
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.