How much rates vary
Facilitymedian $81 · 10th to 90th $35 to $288Professionalmedian $37 · 10th to 90th $28 to $240
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 $34.67 Median $40.74 Typical High $57.54 | Facility | None | $34.67 | $40.74 | $57.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $10.00 | Facility | 26 · Professional part | $6.31 | $7.59 | $10.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $36.31 Typical High $57.54 | Facility | TC · Technical part | $28.84 | $36.31 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $30.20 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $11.75 | Professional | 26 · Professional part | $5.89 | $6.61 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $23.99 | $28.84 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $25.12 | $34.67 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $7.41 Typical High $10.23 | Professional | 26 · Professional part | $5.13 | $7.41 | $10.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $47.86 | Professional | TC · Technical part | $33.88 | $40.74 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $34.67 Typical High $63.10 | Professional | None (both parts) | $30.20 | $34.67 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $6.92 | $10.47 | $13.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $52.48 Typical High $93.33 | Professional | 50 · Both sides | $45.71 | $52.48 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $25.70 | $51.29 |
BCBS Kansas City Setting Facility Modifier None Typical Low $17.78 Median $25.12 Typical High $44.67 | Facility | None | $17.78 | $25.12 | $44.67 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $39.81 Median $42.66 Typical High $52.48 | Professional | None (both parts) | $39.81 | $42.66 | $52.48 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.41 Typical High $9.77 | Professional | 26 · Professional part | $7.24 | $7.41 | $9.77 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $31.62 | $35.48 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $123.03 Typical High $245.47 | Facility | None | $61.66 | $123.03 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $25.12 | $33.88 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $7.08 Typical High $12.59 | Professional | 26 · Professional part | $4.90 | $7.08 | $12.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $28.18 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $28.18 | $56.23 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $81.28 Typical High $346.74 | Facility | None | $34.67 | $81.28 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $33.88 | $239.88 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $7.08 | $51.29 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $26.92 | $199.53 | $199.53 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $57.54 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $57.54 | $58.88 | $67.61 |
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 $38.90 Typical High $70.79 | Professional | None (both parts) | $30.90 | $38.90 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.13 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $8.13 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $24.55 | $30.20 | $57.54 |
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 $15.49 Median $17.78 Typical High $19.95 | Professional | 52 · Reduced service | $15.49 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | FX · Film X-ray | $26.30 | $28.18 | $32.36 |
Where Missouri sits
The same service costs 11.5 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· 34th of 51
$38.02
VT $339FL $29.51
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.