How much rates vary
Facilitymedian $83 · 10th to 90th $33 to $339Professionalmedian $38 · 10th to 90th $28 to $224
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 $30.20 Median $38.90 Typical High $61.66 | Facility | None | $30.20 | $38.90 | $61.66 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $11.75 | Facility | 26 · Professional part | $7.59 | $9.33 | $11.75 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $28.84 Typical High $46.77 | Facility | TC · Technical part | $22.91 | $28.84 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $28.84 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $14.13 | Professional | 26 · Professional part | $7.08 | $7.94 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $25.12 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $23.44 | $28.84 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $13.18 | Professional | 26 · Professional part | $6.17 | $8.91 | $13.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $33.11 Median $44.67 Typical High $70.79 | Professional | 50 · Both sides | $33.11 | $44.67 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $32.36 Typical High $50.12 | Professional | TC · Technical part | $16.22 | $32.36 | $50.12 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $43.65 Typical High $58.88 | Professional | None (both parts) | $28.18 | $43.65 | $58.88 |
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 $42.66 Median $66.07 Typical High $89.13 | Professional | 50 · Both sides | $42.66 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $26.92 | $43.65 |
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 $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 $11.75 | Professional | 26 · Professional part | $8.71 | $8.91 | $11.75 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $34.67 | Professional | TC · Technical part | $25.70 | $28.18 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $100.00 Typical High $239.88 | Facility | None | $58.88 | $100.00 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $63.10 | Professional | None (both parts) | $24.55 | $33.88 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $5.89 | $8.51 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $18.20 | $25.12 | $47.86 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $154.88 Typical High $346.74 | Facility | None | $39.81 | $154.88 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $32.36 | $223.87 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $8.51 | $70.79 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $23.99 | $169.82 | $169.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $58.88 | Professional | None (both parts) | $50.12 | $50.12 | $58.88 |
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 $36.31 Typical High $63.10 | Professional | None (both parts) | $30.20 | $36.31 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $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 15.1 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 $407FL $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.