How much rates vary
Facilitymedian $93 · 10th to 90th $42 to $347Professionalmedian $49 · 10th to 90th $36 to $269
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 $37.15 Median $50.12 Typical High $58.88 | Facility | None | $37.15 | $50.12 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $35.48 | $38.90 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $11.48 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $28.18 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $66.07 | Professional | None (both parts) | $33.11 | $64.57 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $9.77 | $12.30 | $16.60 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $36.31 | $54.95 | $72.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.78 Typical High $22.39 | Professional | 26 · Professional part | $10.72 | $17.78 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $36.31 | $51.29 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $70.79 | Facility | None | $28.84 | $40.74 | $70.79 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $61.66 | Professional | None (both parts) | $44.67 | $47.86 | $61.66 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $17.38 | Professional | 26 · Professional part | $13.18 | $13.80 | $17.38 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $30.90 | $33.88 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $117.49 Typical High $457.09 | Facility | None | $77.62 | $117.49 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $42.66 Typical High $77.62 | Professional | None (both parts) | $30.20 | $42.66 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $12.30 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $30.20 | $54.95 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $89.13 Typical High $346.74 | Facility | None | $43.65 | $89.13 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $40.74 | $269.15 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $11.75 | $97.72 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $28.18 | $208.93 | $208.93 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | None (both parts) | $64.57 | $64.57 | $75.86 |
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 $38.02 Median $46.77 Typical High $77.62 | Professional | None (both parts) | $38.02 | $46.77 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.13 Typical High $23.44 | Professional | 26 · Professional part | $11.48 | $14.13 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $32.36 | $56.23 |
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 $17.38 Median $19.50 Typical High $22.39 | Professional | 52 · Reduced service | $17.38 | $19.50 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.76 Typical High $8.91 | Professional | 53 · Discontinued | $6.92 | $7.76 | $8.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $31.62 Typical High $35.48 | Professional | FX · Film X-ray | $29.51 | $31.62 | $35.48 |
Where Missouri sits
The same service costs 3.7 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
$50.12
AK $123UT $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.