How much rates vary
Facilitymedian $209 · 10th to 90th $95 to $513Professionalmedian $105 · 10th to 90th $81 to $646
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 $89.13 Median $97.72 Typical High $134.90 | Facility | None | $89.13 | $97.72 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $81.28 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $27.54 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $66.07 | $117.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $77.62 | Professional | None (both parts) | $74.13 | $74.13 | $77.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $85.11 | $104.71 | $169.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $38.90 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $61.66 | $123.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $125.89 | Facility | None | $51.29 | $70.79 | $125.89 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $95.50 Median $102.33 Typical High $128.82 | Professional | None (both parts) | $95.50 | $102.33 | $128.82 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $30.90 | $39.81 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $72.44 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $72.44 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $263.03 Typical High $512.86 | Facility | None | $169.82 | $263.03 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $70.79 | $95.50 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $29.51 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $48.98 | $67.61 | $125.89 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $204.17 Typical High $478.63 | Facility | None | $97.72 | $204.17 | $478.63 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $93.33 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $25.70 | $181.97 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $66.07 | $467.74 | $467.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
United Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $588.84 | Facility | None | $549.54 | $549.54 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $87.10 | $107.15 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $33.11 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $75.86 | $128.82 |
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 $40.74 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $17.78 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $17.78 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $70.79 Typical High $83.18 | Professional | FX · Film X-ray | $69.18 | $70.79 | $83.18 |
Where Missouri sits
The same service costs 3.8 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· 31st of 51
$105
AK $282UT $74.13
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.