How much rates vary
Facilitymedian $129 · 10th to 90th $51 to $316Professionalmedian $60 · 10th to 90th $45 to $347
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 $45.71 Median $51.29 Typical High $74.13 | Facility | None | $45.71 | $51.29 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $43.65 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $16.60 | Professional | 26 · Professional part | $10.00 | $10.96 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $56.23 | Professional | TC · Technical part | $33.11 | $38.02 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $91.20 | Professional | None (both parts) | $44.67 | $67.61 | $91.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $23.44 | Professional | 26 · Professional part | $12.02 | $17.78 | $23.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $69.18 | Professional | TC · Technical part | $32.36 | $42.66 | $69.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $89.13 | Facility | None | $36.31 | $51.29 | $89.13 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $53.70 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $53.70 | $57.54 | $72.44 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $12.30 | $12.59 | $16.60 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $56.23 | Professional | TC · Technical part | $41.69 | $45.71 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $263.03 | Facility | None | $91.20 | $151.36 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $97.72 | Professional | None (both parts) | $38.02 | $52.48 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $75.86 | Professional | TC · Technical part | $29.51 | $40.74 | $75.86 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $112.20 Typical High $346.74 | Facility | None | $54.95 | $112.20 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $50.12 | $346.74 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $12.59 | $141.25 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $37.15 | $275.42 | $275.42 |
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 $47.86 Median $56.23 Typical High $97.72 | Professional | None (both parts) | $47.86 | $56.23 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $14.13 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $42.66 | $75.86 |
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 $21.88 Median $24.55 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $24.55 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $9.77 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | FX · Film X-ray | $37.15 | $38.90 | $44.67 |
Where Missouri sits
The same service costs 4.5 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· 22nd of 51
$63.10
AK $148UT $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.