How much rates vary
Facilitymedian $72 · 10th to 90th $29 to $275Professionalmedian $35 · 10th to 90th $26 to $204
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 $27.54 Median $31.62 Typical High $43.65 | Facility | None | $27.54 | $31.62 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $28.84 Typical High $51.29 | Professional | None (both parts) | $25.70 | $28.84 | $51.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $15.14 | Professional | 26 · Professional part | $7.59 | $8.32 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $20.89 | $36.31 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None (both parts) | $24.55 | $24.55 | $24.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.02 Typical High $53.70 | Professional | None (both parts) | $27.54 | $38.02 | $53.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $13.18 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.89 Typical High $38.02 | Professional | TC · Technical part | $18.20 | $20.89 | $38.02 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $44.67 | Facility | None | $17.78 | $25.12 | $44.67 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $31.62 | $33.88 | $42.66 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $9.33 | $9.77 | $12.59 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $30.20 | Professional | TC · Technical part | $22.39 | $23.99 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $87.10 Typical High $239.88 | Facility | None | $47.86 | $87.10 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.90 Typical High $57.54 | Professional | None (both parts) | $22.39 | $30.90 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.91 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.91 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $22.39 | $41.69 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $77.62 Typical High $346.74 | Facility | None | $33.11 | $77.62 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.18 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $28.18 | $204.17 | $204.17 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $8.91 | $112.20 | $112.20 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $19.50 | $147.91 | $147.91 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | None (both parts) | $45.71 | $45.71 | $53.70 |
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 $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $8.51 | $10.47 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $23.44 | $42.66 |
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 $12.88 Median $14.45 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $14.45 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.89 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $5.89 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $23.44 Typical High $26.92 | Professional | FX · Film X-ray | $21.88 | $23.44 | $26.92 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in New York. 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· 26th of 51
$36.31
AK $93.33NY $21.88
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.