How much rates vary
Facilitymedian $69 · 10th to 90th $32 to $275Professionalmedian $38 · 10th to 90th $28 to $209
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 $30.20 Median $37.15 Typical High $46.77 | Facility | None | $30.20 | $37.15 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $44.67 | Facility | TC · Technical part | $22.39 | $26.30 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $26.92 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $8.32 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $22.91 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.30 Typical High $29.51 | Professional | None (both parts) | $22.91 | $26.30 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $9.12 Typical High $11.22 | Professional | 26 · Professional part | $6.46 | $9.12 | $11.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $16.22 | $29.51 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $44.67 Typical High $57.54 | Professional | None (both parts) | $27.54 | $44.67 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $12.88 | $16.60 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $28.84 | $41.69 |
BCBS Kansas City Setting Facility Modifier None Typical Low $24.55 Median $30.90 Typical High $61.66 | Facility | None | $24.55 | $30.90 | $61.66 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $32.36 Median $34.67 Typical High $43.65 | Professional | None (both parts) | $32.36 | $34.67 | $43.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $12.30 | Professional | 26 · Professional part | $9.12 | $9.33 | $12.30 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $31.62 | Professional | TC · Technical part | $23.44 | $25.70 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $93.33 Typical High $239.88 | Facility | None | $52.48 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $23.44 | $33.11 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $6.17 | $8.91 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $23.99 | $44.67 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $346.74 | Facility | None | $36.31 | $69.18 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $30.20 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $8.71 | $83.18 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $21.38 | $177.83 | $177.83 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $47.86 | $47.86 | $56.23 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $29.51 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $10.23 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $24.55 | $44.67 |
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 $13.18 Median $15.14 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $15.14 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.03 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $6.03 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $22.91 | $24.55 | $27.54 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$38.90
AK $95.50FL $25.12
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.