How much rates vary
Facilitymedian $200 · 10th to 90th $87 to $759Professionalmedian $148 · 10th to 90th $91 to $562
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 $109.65 Median $204.17 Typical High $229.09 | Facility | None | $109.65 | $204.17 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $190.55 | $229.09 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $25.70 | $28.18 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $239.88 | Professional | TC · Technical part | $181.97 | $223.87 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $323.59 | Professional | None (both parts) | $91.20 | $134.90 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $46.77 | $60.26 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $223.87 | Professional | TC · Technical part | $54.95 | $81.28 | $223.87 |
BCBS Kansas City Setting Facility Modifier None Typical Low $63.10 Median $81.28 Typical High $154.88 | Facility | None | $63.10 | $81.28 | $154.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $138.04 | $138.04 | $151.36 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $32.36 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $199.53 Typical High $912.01 | Facility | None | $141.25 | $199.53 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $58.88 | $85.11 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $31.62 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $54.95 Typical High $95.50 | Professional | TC · Technical part | $37.15 | $54.95 | $95.50 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $234.42 Typical High $741.31 | Facility | None | $46.77 | $234.42 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $112.20 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $31.62 | $194.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $524.81 | $524.81 |
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 $102.33 Median $281.84 Typical High $478.63 | Professional | None (both parts) | $102.33 | $281.84 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $30.20 | $35.48 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $70.79 | $245.47 | $426.58 |
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 $95.50 Median $114.82 Typical High $125.89 | Professional | 52 · Reduced service | $95.50 | $114.82 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $45.71 Typical High $50.12 | Professional | 53 · Discontinued | $38.02 | $45.71 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $186.21 Typical High $190.55 | Professional | FX · Film X-ray | $165.96 | $186.21 | $190.55 |
Where Missouri sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 36th of 51
$151
NE $389HI $66.07
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.