How much rates vary
Facilitymedian $105 · 10th to 90th $49 to $933Professionalmedian $58 · 10th to 90th $36 to $389
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 $36.31 Median $40.74 Typical High $117.49 | Facility | None | $36.31 | $40.74 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $36.31 | $40.74 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $14.45 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $25.70 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $16.60 | $19.95 | $19.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $67.61 Typical High $120.23 | Professional | None (both parts) | $36.31 | $67.61 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $23.99 Typical High $30.90 | Professional | 26 · Professional part | $15.85 | $23.99 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $43.65 Typical High $95.50 | Professional | TC · Technical part | $20.42 | $43.65 | $95.50 |
BCBS Kansas City Setting Facility Modifier None Typical Low $44.67 Median $56.23 Typical High $112.20 | Facility | None | $44.67 | $56.23 | $112.20 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $42.66 | $45.71 | $60.26 |
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 $26.30 Median $28.84 Typical High $37.15 | Professional | TC · Technical part | $26.30 | $28.84 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $933.25 | Facility | None | $81.28 | $114.82 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $91.20 | Professional | None (both parts) | $30.20 | $44.67 | $91.20 |
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 $18.62 Median $27.54 Typical High $57.54 | Professional | TC · Technical part | $18.62 | $27.54 | $57.54 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $104.71 Typical High $954.99 | Facility | None | $57.54 | $104.71 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $42.66 | $389.05 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $102.33 Typical High $102.33 | Professional | 26 · Professional part | $15.85 | $102.33 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $24.55 | $302.00 | $302.00 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $38.90 | $52.48 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $28.84 | Professional | 26 · Professional part | $15.49 | $18.20 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $31.62 | $54.95 |
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 $17.38 Median $19.50 Typical High $21.88 | Professional | 52 · Reduced service | $17.38 | $19.50 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.76 Typical High $8.71 | Professional | 53 · Discontinued | $6.92 | $7.76 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $30.90 Typical High $34.67 | Professional | FX · Film X-ray | $28.84 | $30.90 | $34.67 |
Where Missouri sits
The same service costs 3.8 times more in Alaska than in New York. 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· 27th of 51
$57.54
AK $115NY $30.20
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.