How much rates vary
Facilitymedian $1,148 · 10th to 90th $427 to $2,630Professionalmedian $513 · 10th to 90th $282 to $3,388
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 $407.38 Median $1,513.56 Typical High $2,089.30 | Facility | None | $407.38 | $1,513.56 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $371.54 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $257.04 | $281.84 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $69.18 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $288.40 | $537.03 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $436.52 | $776.25 |
BCBS Kansas City Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $1,412.54 | Facility | None | $575.44 | $707.95 | $1,412.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $281.84 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $281.84 | $295.12 | $457.09 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $87.10 | $89.13 | $117.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $354.81 | Professional | TC · Technical part | $194.98 | $204.17 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $2,398.83 | Facility | None | $524.81 | $1,380.38 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $223.87 | $371.54 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $67.61 | $87.10 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $263.03 | $645.65 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $1,071.52 Typical High $2,630.27 | Facility | None | $416.87 | $1,071.52 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $338.84 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $89.13 | $660.69 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $234.42 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $302.00 | $467.74 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $104.71 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $218.78 | $323.59 | $676.08 |
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 $186.21 Median $204.17 Typical High $251.19 | Professional | 52 · Reduced service | $186.21 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $74.13 | $81.28 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $363.08 | Professional | FX · Film X-ray | $295.12 | $323.59 | $363.08 |
Where Missouri sits
The same service costs 5.6 times more in Wyoming 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· 18th of 51
$537
WY $1,072TX $191
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.