How much rates vary
Facilitymedian $126 · 10th to 90th $52 to $347Professionalmedian $62 · 10th to 90th $43 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 $50.12 Median $69.18 Typical High $97.72 | Facility | None | $50.12 | $69.18 | $97.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $75.86 | Facility | TC · Technical part | $38.02 | $52.48 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $93.33 | Professional | None (both parts) | $44.67 | $52.48 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $11.48 | $12.88 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $69.18 | Professional | TC · Technical part | $33.11 | $38.90 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $33.11 | $41.69 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $15.14 | $19.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $52.48 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $72.44 Typical High $95.50 | Professional | None (both parts) | $45.71 | $72.44 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $21.88 | $29.51 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $45.71 | $69.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $95.50 | Facility | None | $38.90 | $53.70 | $95.50 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $56.23 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $56.23 | $60.26 | $75.86 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.45 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $14.45 | $20.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $56.23 | Professional | TC · Technical part | $40.74 | $45.71 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $158.49 Typical High $457.09 | Facility | None | $93.33 | $158.49 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $38.90 | $53.70 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $9.33 | $14.45 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $28.84 | $38.90 | $75.86 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $346.74 | Facility | None | $64.57 | $125.89 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $51.29 | $346.74 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $15.14 | $114.82 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $37.15 | $257.04 | $257.04 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $81.28 | $81.28 | $95.50 |
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 $48.98 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $48.98 | $58.88 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $16.22 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $33.88 | $42.66 | $74.13 |
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 $25.12 Typical High $28.18 | Professional | 52 · Reduced service | $21.88 | $25.12 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.00 Typical High $11.22 | Professional | 53 · Discontinued | $8.71 | $10.00 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | FX · Film X-ray | $37.15 | $39.81 | $44.67 |
Where Missouri sits
The same service costs 4.8 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
$63.10
AK $158UT $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.