How much rates vary
Facilitymedian $69 · 10th to 90th $30 to $275Professionalmedian $36 · 10th to 90th $26 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 $28.84 Median $35.48 Typical High $47.86 | Facility | None | $28.84 | $35.48 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $45.71 | Facility | TC · Technical part | $21.88 | $28.18 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $26.30 | $31.62 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $7.94 | $14.13 |
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 $20.89 Median $29.51 Typical High $48.98 | Professional | None (both parts) | $20.89 | $29.51 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $12.30 | Professional | 26 · Professional part | $6.17 | $7.76 | $12.30 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $16.22 | $31.62 | $37.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $26.30 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $26.30 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $15.85 | Professional | 26 · Professional part | $8.32 | $12.59 | $15.85 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $63.10 Typical High $83.18 | Professional | 50 · Both sides | $39.81 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $40.74 | Professional | TC · Technical part | $18.20 | $26.92 | $40.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.88 Median $29.51 Typical High $54.95 | Facility | None | $21.88 | $29.51 | $54.95 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $45.71 | Professional | None (both parts) | $33.88 | $36.31 | $45.71 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $8.71 | $8.91 | $11.75 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $33.88 | Professional | TC · Technical part | $25.12 | $27.54 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $95.50 Typical High $239.88 | Facility | None | $51.29 | $95.50 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $23.44 | $31.62 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.91 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $22.91 | $45.71 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $69.18 Typical High $346.74 | Facility | None | $33.88 | $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 $8.51 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $8.51 | $79.43 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $21.38 | $162.18 | $162.18 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $14.45 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $14.45 | $48.98 | $57.54 |
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 $28.84 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $9.77 | $15.49 |
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 $16.98 | Professional | 52 · Reduced service | $13.18 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.03 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.03 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $24.55 Typical High $27.54 | Professional | FX · Film X-ray | $22.39 | $24.55 | $27.54 |
Where Missouri sits
The same service costs 6.0 times more in Vermont 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· 28th of 51
$37.15
VT $155FL $25.70
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.