How much rates vary
Facilitymedian $309 · 10th to 90th $102 to $813Professionalmedian $191 · 10th to 90th $105 to $1,585
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 $102.33 Median $102.33 Typical High $162.18 | Facility | None | $102.33 | $102.33 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | None (both parts) | $102.33 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $66.07 | $66.07 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $141.25 | $275.42 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $63.10 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $97.72 | $199.53 | $338.84 |
BCBS Kansas City Setting Facility Modifier None Typical Low $263.03 Median $338.84 Typical High $645.65 | Facility | None | $263.03 | $338.84 | $645.65 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $537.03 | Professional | None (both parts) | $426.58 | $457.09 | $537.03 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $43.65 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $85.11 | $104.71 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $67.61 | $117.49 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $812.83 | Facility | None | $102.33 | $257.04 | $812.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $1,000.00 Typical High $1,584.89 | Professional | None (both parts) | $162.18 | $1,000.00 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $794.33 Typical High $794.33 | Professional | 26 · Professional part | $44.67 | $794.33 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $117.49 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $162.18 | $181.97 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $45.71 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $131.83 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $131.83 | $257.04 |
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 $51.29 Median $51.29 Typical High $61.66 | Professional | 52 · Reduced service | $51.29 | $51.29 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $24.55 | Professional | 53 · Discontinued | $20.42 | $20.42 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $100.00 | Professional | FX · Film X-ray | $81.28 | $81.28 | $100.00 |
Where Missouri sits
The same service costs 5.2 times more in North Dakota 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· 22nd of 51
$191
ND $457FL $87.10
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.