How much rates vary
Facilitymedian $447 · 10th to 90th $209 to $9,550Professionalmedian $234 · 10th to 90th $141 to $3,090
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 $131.83 Median $177.83 Typical High $446.68 | Facility | None | $131.83 | $177.83 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $131.83 | $147.91 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $77.62 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $66.07 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $66.07 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $269.15 | Professional | None (both parts) | $120.23 | $123.03 | $269.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $93.33 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $794.33 | Professional | None (both parts) | $158.49 | $269.15 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $74.13 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $645.65 | Professional | TC · Technical part | $70.79 | $134.90 | $645.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $208.93 Median $537.03 Typical High $1,348.96 | Facility | None | $208.93 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $154.88 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $154.88 | $165.96 | $218.78 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $70.79 | $91.20 | $109.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $74.13 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $446.68 Typical High $9,549.93 | Facility | None | $208.93 | $446.68 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $109.65 | $181.97 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $58.88 | $77.62 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $91.20 Typical High $323.59 | Professional | TC · Technical part | $48.98 | $91.20 | $323.59 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $630.96 Typical High $9,332.54 | Facility | None | $158.49 | $630.96 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $173.78 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $61.66 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,471.29 | Facility | None | $10,000.00 | $10,000.00 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $158.49 | $208.93 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $56.23 | $93.33 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $288.40 | Professional | TC · Technical part | $74.13 | $95.50 | $288.40 |
4 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 $66.07 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $28.18 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $112.20 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $112.20 | $128.82 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 59 · Distinct service | $263.03 | $263.03 | $263.03 |
Where Missouri sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 19th of 51
$234
AK $468TX $115
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.