How much rates vary
Facilitymedian $138 · 10th to 90th $74 to $1,738Professionalmedian $123 · 10th to 90th $72 to $1,318
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 $100.00 Median $436.52 Typical High $524.81 | Facility | None | $100.00 | $436.52 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $489.78 Typical High $524.81 | Professional | None (both parts) | $380.19 | $489.78 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $20.89 Typical High $23.44 | Professional | 26 · Professional part | $19.50 | $20.89 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $478.63 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | 26 · Professional part | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $309.03 | Professional | None (both parts) | $75.86 | $107.15 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $22.91 | $34.67 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $72.44 Typical High $275.42 | Professional | TC · Technical part | $48.98 | $72.44 | $275.42 |
BCBS Kansas City Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $138.04 | Facility | None | $56.23 | $72.44 | $138.04 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $117.49 | $117.49 | $128.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $23.44 | $24.55 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $1,819.70 | Facility | None | $91.20 | $125.89 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $60.26 Typical High $114.82 | Professional | None (both parts) | $39.81 | $60.26 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $16.22 | $23.99 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $37.15 Typical High $72.44 | Professional | TC · Technical part | $23.44 | $37.15 | $72.44 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $302.00 Typical High $1,621.81 | Facility | None | $35.48 | $302.00 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $87.10 | $1,318.26 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $24.55 | $138.04 | $138.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $69.18 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,819.70 | Facility | None | $1,737.80 | $1,737.80 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $524.81 Typical High $954.99 | Professional | None (both parts) | $87.10 | $524.81 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $22.91 | $26.92 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $512.86 Typical High $912.01 | Professional | TC · Technical part | $63.10 | $512.86 | $912.01 |
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 $190.55 Median $239.88 Typical High $263.03 | Professional | 52 · Reduced service | $190.55 | $239.88 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $97.72 Typical High $104.71 | Professional | 53 · Discontinued | $75.86 | $97.72 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $389.05 Typical High $416.87 | Professional | FX · Film X-ray | $346.74 | $389.05 | $416.87 |
Where Missouri sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 37th of 51
$123
CO $661MI $58.88
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.