How much rates vary
Facilitymedian $68 · 10th to 90th $30 to $275Professionalmedian $36 · 10th to 90th $27 to $209
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 $28.18 Median $35.48 Typical High $45.71 | Facility | None | $28.18 | $35.48 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $44.67 | Facility | TC · Technical part | $21.38 | $26.92 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $53.70 | Professional | None (both parts) | $26.30 | $29.51 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $7.59 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.39 Typical High $39.81 | Professional | TC · Technical part | $19.50 | $22.39 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.50 Median $28.18 Typical High $47.86 | Professional | None (both parts) | $19.50 | $28.18 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $12.88 | Professional | 26 · Professional part | $6.17 | $8.91 | $12.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $30.20 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $28.18 | $40.74 | $54.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.59 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $12.59 | $15.14 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $41.69 Median $61.66 Typical High $81.28 | Professional | 50 · Both sides | $41.69 | $61.66 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $25.12 | $40.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $20.89 Median $28.84 Typical High $51.29 | Facility | None | $20.89 | $28.84 | $51.29 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.11 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $33.11 | $35.48 | $44.67 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $8.71 | $8.91 | $11.75 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.30 Typical High $32.36 | Professional | TC · Technical part | $23.99 | $26.30 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $239.88 | Facility | None | $51.29 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $22.91 | $31.62 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $8.32 Typical High $14.79 | Professional | 26 · Professional part | $5.62 | $8.32 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $23.99 Typical High $44.67 | Professional | TC · Technical part | $15.85 | $23.99 | $44.67 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $67.61 Typical High $346.74 | Facility | None | $33.11 | $67.61 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $30.20 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $8.51 | $67.61 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $21.38 | $158.49 | $158.49 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $47.86 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $47.86 | $52.48 | $56.23 |
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 $28.84 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $28.84 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $8.13 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.12 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $25.12 | $45.71 |
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 $13.18 Median $14.79 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.89 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $5.89 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.99 Typical High $27.54 | Professional | FX · Film X-ray | $22.91 | $23.99 | $27.54 |
Where Missouri sits
The same service costs 3.8 times more in Alaska 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· 25th of 51
$37.15
AK $95.50FL $25.12
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.