How much rates vary
Facilitymedian $81 · 10th to 90th $32 to $331Professionalmedian $39 · 10th to 90th $28 to $219
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 $29.51 Median $37.15 Typical High $50.12 | Facility | None | $29.51 | $37.15 | $50.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $12.02 | Facility | 26 · Professional part | $7.08 | $9.12 | $12.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $46.77 | Facility | TC · Technical part | $23.99 | $29.51 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $57.54 | Professional | None (both parts) | $28.18 | $33.11 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $14.45 | Professional | 26 · Professional part | $7.08 | $7.94 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $20.89 | $23.99 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.92 Typical High $44.67 | Professional | None (both parts) | $23.99 | $26.92 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.94 Typical High $12.30 | Professional | 26 · Professional part | $6.17 | $7.94 | $12.30 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $30.90 Median $36.31 Typical High $57.54 | Professional | 50 · Both sides | $30.90 | $36.31 | $57.54 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $18.20 | $33.11 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $380.19 | Facility | None | $128.82 | $151.36 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $57.54 | Professional | None (both parts) | $29.51 | $42.66 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $16.60 | Professional | 26 · Professional part | $8.32 | $12.59 | $16.60 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $43.65 Median $64.57 Typical High $87.10 | Professional | 50 · Both sides | $43.65 | $64.57 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $20.89 | $26.92 | $43.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $21.88 Median $30.90 Typical High $54.95 | Facility | None | $21.88 | $30.90 | $54.95 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $34.67 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $34.67 | $37.15 | $46.77 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $12.59 | Professional | 26 · Professional part | $8.71 | $8.91 | $12.59 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $26.30 | $28.18 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $100.00 Typical High $239.88 | Facility | None | $53.70 | $100.00 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $23.99 | $33.11 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.71 Typical High $15.85 | Professional | 26 · Professional part | $5.89 | $8.71 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $16.98 | $25.70 | $47.86 |
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 $32.36 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $32.36 | $218.78 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $8.91 | $67.61 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $22.39 | $169.82 | $169.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $51.29 | $51.29 | $60.26 |
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 $30.20 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $30.20 | $37.15 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $10.00 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $21.38 | $26.92 | $47.86 |
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 $15.85 Typical High $18.20 | Professional | 52 · Reduced service | $14.13 | $15.85 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.31 Typical High $7.24 | Professional | 53 · Discontinued | $5.62 | $6.31 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $25.12 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $25.12 | $28.84 |
Where Missouri sits
The same service costs 12.9 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
$38.90
VT $347FL $26.92
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.