How much rates vary
Facilitymedian $141 · 10th to 90th $60 to $355Professionalmedian $76 · 10th to 90th $52 to $398
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 $53.70 Median $70.79 Typical High $100.00 | Facility | None | $53.70 | $70.79 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $104.71 | Professional | None (both parts) | $52.48 | $60.26 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $12.88 | $14.79 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $45.71 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $53.70 | Professional | None (both parts) | $43.65 | $50.12 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $11.22 | $14.45 | $19.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $52.48 | $93.33 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $16.22 | $25.12 | $34.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $61.66 | $91.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $125.89 | Facility | None | $51.29 | $69.18 | $125.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $63.10 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $63.10 | $67.61 | $87.10 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $22.39 | Professional | 26 · Professional part | $15.49 | $16.22 | $22.39 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $46.77 | $51.29 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $169.82 Typical High $457.09 | Facility | None | $141.25 | $169.82 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $43.65 | $63.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $10.72 | $16.60 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $33.88 | $46.77 | $87.10 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $131.83 Typical High $346.74 | Facility | None | $63.10 | $131.83 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $63.10 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $63.10 | $398.11 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $16.60 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $45.71 | $309.03 | $309.03 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $91.20 | $102.33 | $107.15 |
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 $58.88 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $58.88 | $69.18 | $114.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $15.14 | $18.20 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $87.10 | Professional | TC · Technical part | $42.66 | $51.29 | $87.10 |
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 $26.30 Median $28.18 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $28.18 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.48 Typical High $13.18 | Professional | 53 · Discontinued | $10.47 | $11.48 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $45.71 Typical High $52.48 | Professional | FX · Film X-ray | $42.66 | $45.71 | $52.48 |
Where Missouri sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 20th of 51
$79.43
AK $182TX $50.12
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.