How much rates vary
Facilitymedian $87 · 10th to 90th $35 to $324Professionalmedian $41 · 10th to 90th $29 to $234
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 $33.11 Median $40.74 Typical High $67.61 | Facility | None | $33.11 | $40.74 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.76 Median $10.00 Typical High $12.88 | Facility | 26 · Professional part | $7.76 | $10.00 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $52.48 | Facility | TC · Technical part | $25.12 | $30.20 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $29.51 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $8.32 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $21.88 | $26.92 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $26.30 | $30.90 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $15.49 | Professional | 26 · Professional part | $6.61 | $9.55 | $15.49 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $72.44 Typical High $85.11 | Professional | 50 · Both sides | $36.31 | $72.44 | $85.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $19.95 | $37.15 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $30.20 | $43.65 | $61.66 |
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 50 · Both sides Typical Low $45.71 Median $66.07 Typical High $93.33 | Professional | 50 · Both sides | $45.71 | $66.07 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $26.92 | $46.77 |
BCBS Kansas City Setting Facility Modifier None Typical Low $22.39 Median $31.62 Typical High $54.95 | Facility | None | $22.39 | $31.62 | $54.95 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $38.90 Median $41.69 Typical High $50.12 | Professional | None (both parts) | $38.90 | $41.69 | $50.12 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $9.33 | $9.77 | $12.59 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $29.51 | $31.62 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $112.20 Typical High $239.88 | Facility | None | $58.88 | $112.20 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $26.30 | $36.31 | $67.61 |
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 $18.62 Median $26.92 Typical High $53.70 | Professional | TC · Technical part | $18.62 | $26.92 | $53.70 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $125.89 Typical High $346.74 | Facility | None | $39.81 | $125.89 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $33.11 | $234.42 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $8.71 | $67.61 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $24.55 | $181.97 | $181.97 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $56.23 | $56.23 | $66.07 |
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 $31.62 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $31.62 | $38.02 | $69.18 |
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 $23.44 Median $27.54 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $27.54 | $52.48 |
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 $15.14 Median $17.38 Typical High $19.50 | Professional | 52 · Reduced service | $15.14 | $17.38 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $6.92 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $27.54 Typical High $30.90 | Professional | FX · Film X-ray | $25.70 | $27.54 | $30.90 |
Where Missouri sits
The same service costs 13.5 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
$41.69
VT $389FL $28.84
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.