How much rates vary
Facilitymedian $46 · 10th to 90th $22 to $288Professionalmedian $28 · 10th to 90th $19 to $174
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 $18.62 Median $21.88 Typical High $31.62 | Facility | None | $18.62 | $21.88 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $21.38 Typical High $37.15 | Professional | None (both parts) | $18.62 | $21.38 | $37.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.08 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $7.08 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $13.80 Typical High $25.12 | Professional | TC · Technical part | $12.30 | $13.80 | $25.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $16.22 Typical High $23.99 | Professional | None (both parts) | $15.49 | $16.22 | $23.99 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.94 Typical High $10.47 | Professional | 26 · Professional part | $6.31 | $7.94 | $10.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $18.62 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $18.62 | $31.62 | $42.66 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $7.94 | $11.48 | $14.45 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $50.12 Typical High $64.57 | Professional | 50 · Both sides | $32.36 | $50.12 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $21.38 Typical High $28.18 | Professional | TC · Technical part | $13.80 | $21.38 | $28.18 |
BCBS Kansas City Setting Facility Modifier None Typical Low $19.95 Median $25.12 Typical High $48.98 | Facility | None | $19.95 | $25.12 | $48.98 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $22.91 Median $23.99 Typical High $30.90 | Professional | None (both parts) | $22.91 | $23.99 | $30.90 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $10.72 | Professional | 26 · Professional part | $7.94 | $8.32 | $10.72 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $15.49 Typical High $20.42 | Professional | TC · Technical part | $14.79 | $15.49 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $239.88 | Facility | None | $40.74 | $54.95 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $22.91 Typical High $40.74 | Professional | None (both parts) | $15.49 | $22.91 | $40.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $7.76 Typical High $14.13 | Professional | 26 · Professional part | $5.37 | $7.76 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $15.14 Typical High $26.92 | Professional | TC · Technical part | $10.23 | $15.14 | $26.92 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $346.74 | Facility | None | $23.44 | $45.71 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $22.91 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $22.91 | $173.78 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $7.76 | $72.44 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $14.13 | $147.91 | $147.91 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $32.36 | $32.36 | $38.02 |
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 $20.89 Median $25.12 Typical High $40.74 | Professional | None (both parts) | $20.89 | $25.12 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $8.91 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $16.98 Typical High $26.30 | Professional | TC · Technical part | $13.18 | $16.98 | $26.30 |
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 $9.12 Median $10.00 Typical High $11.48 | Professional | 52 · Reduced service | $9.12 | $10.00 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.07 Typical High $4.57 | Professional | 53 · Discontinued | $3.72 | $4.07 | $4.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.14 Median $16.22 Typical High $18.20 | Professional | FX · Film X-ray | $15.14 | $16.22 | $18.20 |
Where Missouri sits
The same service costs 3.7 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· 27th of 51
$27.54
AK $64.57FL $17.38
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.