How much rates vary
Facilitymedian $490 · 10th to 90th $195 to $9,550Professionalmedian $251 · 10th to 90th $148 to $3,162
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 $141.25 Median $194.98 Typical High $489.78 | Facility | None | $141.25 | $194.98 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $141.25 | $158.49 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $87.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $69.18 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $104.71 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $812.83 | Professional | None (both parts) | $151.36 | $275.42 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $154.88 | Professional | 26 · Professional part | $83.18 | $109.65 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $162.18 Typical High $645.65 | Professional | TC · Technical part | $72.44 | $162.18 | $645.65 |
BCBS Kansas City Setting Facility Modifier None Typical Low $251.19 Median $537.03 Typical High $1,348.96 | Facility | None | $251.19 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $263.03 | Professional | None (both parts) | $169.82 | $177.83 | $263.03 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $102.33 | $123.03 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $77.62 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $512.86 Typical High $9,549.93 | Facility | None | $223.87 | $512.86 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $467.74 | Professional | None (both parts) | $117.49 | $204.17 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $89.13 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $51.29 | $93.33 | $354.81 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $645.65 Typical High $9,332.54 | Facility | None | $173.78 | $645.65 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $186.21 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $72.44 | $676.08 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $83.18 | $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 $169.82 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $169.82 | $229.09 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $104.71 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $100.00 | $316.23 |
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 $70.79 Median $75.86 Typical High $87.10 | Professional | 52 · Reduced service | $70.79 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $30.90 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $123.03 Typical High $138.04 | Professional | FX · Film X-ray | $112.20 | $123.03 | $138.04 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 59 · Distinct service | $288.40 | $288.40 | $288.40 |
Where Missouri sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 20th of 51
$263
AK $513UT $100
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.