How much rates vary
Facilitymedian $269 · 10th to 90th $100 to $759Professionalmedian $115 · 10th to 90th $81 to $692
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 $91.20 Median $120.23 Typical High $158.49 | Facility | None | $91.20 | $120.23 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $87.10 | $93.33 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $14.79 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $125.89 | Professional | TC · Technical part | $74.13 | $79.43 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $29.51 | Professional | 26 · Professional part | $17.38 | $17.38 | $29.51 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $81.28 | $114.82 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.12 Typical High $33.11 | Professional | 26 · Professional part | $16.22 | $25.12 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $81.28 | $147.91 |
BCBS Kansas City Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $169.82 | Facility | None | $67.61 | $95.50 | $169.82 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $104.71 | $114.82 | $138.04 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $16.98 | $17.78 | $22.91 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $117.49 | Professional | TC · Technical part | $85.11 | $97.72 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $912.01 | Facility | None | $181.97 | $331.13 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $74.13 | $100.00 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $29.51 | Professional | 26 · Professional part | $11.22 | $16.22 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $79.43 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $79.43 | $158.49 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $218.78 Typical High $645.65 | Facility | None | $102.33 | $218.78 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $91.20 | $691.83 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $16.60 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $74.13 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $89.13 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $16.22 | $18.62 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $74.13 | $87.10 | $162.18 |
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 $43.65 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $18.62 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $75.86 Typical High $87.10 | Professional | FX · Film X-ray | $72.44 | $75.86 | $87.10 |
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
$115
AK $288NY $75.86
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.