How much rates vary
Facilitymedian $107 · 10th to 90th $48 to $347Professionalmedian $58 · 10th to 90th $42 to $324
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 $46.77 Median $57.54 Typical High $70.79 | Facility | None | $46.77 | $57.54 | $70.79 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.79 Median $18.62 Typical High $22.39 | Facility | 26 · Professional part | $14.79 | $18.62 | $22.39 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $38.90 Typical High $63.10 | Facility | TC · Technical part | $31.62 | $38.90 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $42.66 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $13.49 | $15.14 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $29.51 | $33.11 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $38.90 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $11.48 | $15.14 | $19.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $42.66 | $66.07 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $23.44 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $39.81 | $60.26 |
BCBS Kansas City Setting Facility Modifier None Typical Low $31.62 Median $44.67 Typical High $79.43 | Facility | None | $31.62 | $44.67 | $79.43 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $70.79 | Professional | None (both parts) | $50.12 | $53.70 | $70.79 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.98 Typical High $21.88 | Professional | 26 · Professional part | $16.22 | $16.98 | $21.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $47.86 | Professional | TC · Technical part | $33.88 | $37.15 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $457.09 | Facility | None | $83.18 | $134.90 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $36.31 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $11.22 | $16.22 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $25.12 | $33.88 | $63.10 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $489.78 | Facility | None | $60.26 | $107.15 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $48.98 | $323.59 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $15.85 | $128.82 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $32.36 | $251.19 | $251.19 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $74.13 | $74.13 | $87.10 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $93.33 | Professional | None (both parts) | $45.71 | $54.95 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $29.51 | Professional | 26 · Professional part | $15.49 | $18.20 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | TC · Technical part | $30.20 | $37.15 | $63.10 |
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 $20.42 Median $23.44 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.33 Typical High $10.47 | Professional | 53 · Discontinued | $8.32 | $9.33 | $10.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $37.15 Typical High $42.66 | Professional | FX · Film X-ray | $34.67 | $37.15 | $42.66 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$58.88
AK $148UT $33.11
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.