How much rates vary
Facilitymedian $105 · 10th to 90th $49 to $347Professionalmedian $54 · 10th to 90th $36 to $288
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 $38.90 Median $38.90 Typical High $64.57 | Facility | None | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $38.02 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $11.22 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $30.20 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $32.36 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $36.31 | $67.61 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $10.72 | $17.38 | $21.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $45.71 | $61.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $39.81 Median $50.12 Typical High $97.72 | Facility | None | $39.81 | $50.12 | $97.72 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $63.10 | Professional | None (both parts) | $44.67 | $47.86 | $63.10 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $12.30 | $12.88 | $16.22 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $33.11 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $128.82 Typical High $457.09 | Facility | None | $85.11 | $128.82 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $32.36 | $44.67 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $12.02 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $33.11 | $60.26 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $95.50 Typical High $346.74 | Facility | None | $45.71 | $95.50 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $43.65 | $288.40 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $11.22 | $107.15 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $30.90 | $269.15 | $269.15 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $77.62 | Professional | None (both parts) | $66.07 | $66.07 | $77.62 |
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 $41.69 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $41.69 | $50.12 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $13.80 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $29.51 | $35.48 | $60.26 |
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 $18.62 Median $20.89 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $20.89 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.32 Typical High $9.33 | Professional | 53 · Discontinued | $7.41 | $8.32 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $33.11 Typical High $37.15 | Professional | FX · Film X-ray | $30.90 | $33.11 | $37.15 |
Where Missouri sits
The same service costs 3.9 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· 25th of 51
$54.95
AK $129UT $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.