How much rates vary
Facilitymedian $324 · 10th to 90th $123 to $1,122Professionalmedian $135 · 10th to 90th $105 to $891
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 $117.49 Median $131.83 Typical High $181.97 | Facility | None | $117.49 | $131.83 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $109.65 | $120.23 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $23.99 | $25.70 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $95.50 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $223.87 | Professional | None (both parts) | $107.15 | $134.90 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $28.18 | $41.69 | $53.70 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $158.49 Median $199.53 Typical High $338.84 | Professional | 50 · Both sides | $158.49 | $199.53 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $87.10 | $181.97 |
BCBS Kansas City Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $169.82 | Facility | None | $67.61 | $95.50 | $169.82 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $134.90 | $144.54 | $177.83 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $28.84 | $30.20 | $39.81 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $114.82 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $114.82 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $407.38 Typical High $1,819.70 | Facility | None | $204.17 | $407.38 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $239.88 | Professional | None (both parts) | $89.13 | $125.89 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $28.84 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $93.33 | $190.55 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $275.42 Typical High $954.99 | Facility | None | $125.89 | $275.42 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $117.49 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $28.84 | $173.78 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $87.10 | $724.44 | $724.44 |
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 $109.65 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $109.65 | $138.04 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $32.36 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $104.71 | $199.53 |
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 $54.95 Median $60.26 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $60.26 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $24.55 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $97.72 Typical High $112.20 | Professional | FX · Film X-ray | $93.33 | $97.72 | $112.20 |
Where Missouri sits
The same service costs 4.2 times more in Alaska than in New York. 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· 32nd of 51
$135
AK $398NY $95.50
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.