How much rates vary
Facilitymedian $79 · 10th to 90th $33 to $339Professionalmedian $39 · 10th to 90th $28 to $224
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 $30.90 Median $39.81 Typical High $131.83 | Facility | None | $30.90 | $39.81 | $131.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.47 Typical High $13.18 | Facility | 26 · Professional part | $7.94 | $10.47 | $13.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $46.77 | Facility | TC · Technical part | $22.91 | $28.84 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $28.18 | $33.88 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $7.94 | $8.91 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $20.42 | $23.99 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $48.98 | Professional | None (both parts) | $24.55 | $30.20 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.91 Typical High $13.80 | Professional | 26 · Professional part | $6.92 | $8.91 | $13.80 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $67.61 Typical High $79.43 | Professional | 50 · Both sides | $41.69 | $67.61 | $79.43 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $29.51 Typical High $38.90 | Professional | TC · Technical part | $17.38 | $29.51 | $38.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $27.54 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $27.54 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $9.33 | $14.13 | $17.78 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $69.18 Typical High $89.13 | Professional | 50 · Both sides | $40.74 | $69.18 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $28.84 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $28.84 | $42.66 |
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 $36.31 Median $38.90 Typical High $48.98 | Professional | None (both parts) | $36.31 | $38.90 | $48.98 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.00 Typical High $13.49 | Professional | 26 · Professional part | $9.77 | $10.00 | $13.49 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.84 Typical High $36.31 | Professional | TC · Technical part | $26.30 | $28.84 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $100.00 Typical High $239.88 | Facility | None | $52.48 | $100.00 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $25.12 | $33.88 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $6.61 | $9.55 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $23.44 | $46.77 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $169.82 Typical High $354.81 | Facility | None | $39.81 | $169.82 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $32.36 | $223.87 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $10.00 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $21.88 | $177.83 | $177.83 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $52.48 | $52.48 | $61.66 |
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 $30.90 Median $36.31 Typical High $64.57 | Professional | None (both parts) | $30.90 | $36.31 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $11.22 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $25.70 | $46.77 |
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 $14.13 Median $16.22 Typical High $18.20 | Professional | 52 · Reduced service | $14.13 | $16.22 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.46 Typical High $7.24 | Professional | 53 · Discontinued | $5.62 | $6.46 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $25.70 Typical High $29.51 | Professional | FX · Film X-ray | $23.99 | $25.70 | $29.51 |
Where Missouri sits
The same service costs 15.5 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· 26th of 51
$39.81
VT $427FL $27.54
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.