How much rates vary
Facilitymedian $35 · 10th to 90th $18 to $288Professionalmedian $24 · 10th to 90th $16 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 $15.85 Median $17.78 Typical High $26.92 | Facility | None | $15.85 | $17.78 | $26.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $17.78 Typical High $27.54 | Professional | None (both parts) | $15.85 | $17.78 | $27.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $9.55 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.13 Typical High $13.18 | Professional | TC · Technical part | $7.24 | $8.13 | $13.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $11.22 | $17.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $11.75 Median $26.30 Typical High $47.86 | Professional | None (both parts) | $11.75 | $26.30 | $47.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $10.72 | $16.22 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $14.79 Typical High $28.84 | Professional | TC · Technical part | $7.76 | $14.79 | $28.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $61.66 | Facility | None | $15.14 | $24.55 | $61.66 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $20.42 Median $21.38 Typical High $27.54 | Professional | None (both parts) | $20.42 | $21.38 | $27.54 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.22 Typical High $14.79 | Professional | 26 · Professional part | $10.96 | $11.22 | $14.79 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $10.00 Typical High $13.18 | Professional | TC · Technical part | $9.55 | $10.00 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $34.67 Typical High $239.88 | Facility | None | $28.18 | $34.67 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.18 Median $19.95 Typical High $42.66 | Professional | None (both parts) | $13.18 | $19.95 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $19.05 | Professional | 26 · Professional part | $7.08 | $10.72 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.17 Median $10.00 Typical High $19.95 | Professional | TC · Technical part | $6.17 | $10.00 | $19.95 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $40.74 Typical High $346.74 | Facility | None | $26.92 | $40.74 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $20.42 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $20.42 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $10.96 | $104.71 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $9.12 | $128.82 | $128.82 |
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 $19.05 Median $22.39 Typical High $36.31 | Professional | None (both parts) | $19.05 | $22.39 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $10.23 | $12.30 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $10.96 Typical High $17.38 | Professional | TC · Technical part | $8.32 | $10.96 | $17.38 |
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 $7.94 Median $8.91 Typical High $9.55 | Professional | 52 · Reduced service | $7.94 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.55 Typical High $3.80 | Professional | 53 · Discontinued | $3.16 | $3.55 | $3.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.59 Median $14.13 Typical High $15.14 | Professional | FX · Film X-ray | $12.59 | $14.13 | $15.14 |
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· 30th of 51
$24.55
AK $56.23FL $15.49
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.