How much rates vary
Facilitymedian $417 · 10th to 90th $200 to $15,849Professionalmedian $245 · 10th to 90th $138 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 $147.91 Median $199.53 Typical High $331.13 | Facility | None | $147.91 | $199.53 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $147.91 | $169.82 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $63.10 | $89.13 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $75.86 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $295.12 Typical High $794.33 | Professional | None (both parts) | $131.83 | $295.12 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $95.50 | $158.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $707.95 | Professional | TC · Technical part | $77.62 | $144.54 | $707.95 |
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 $173.78 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $173.78 | $186.21 | $239.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $102.33 | $123.03 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $83.18 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $436.52 Typical High $15,848.93 | Facility | None | $239.88 | $436.52 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $426.58 | Professional | None (both parts) | $123.03 | $177.83 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $47.86 | $75.86 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $100.00 Typical High $316.23 | Professional | TC · Technical part | $54.95 | $100.00 | $316.23 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $630.96 Typical High $16,218.10 | Facility | None | $181.97 | $630.96 | $16,218.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $190.55 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $676.08 Typical High $676.08 | Professional | 26 · Professional part | $63.10 | $676.08 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $91.20 | $2,818.38 | $2,818.38 |
United Setting Facility Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $18,620.87 | Facility | None | $17,378.01 | $17,378.01 | $18,620.87 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $169.82 | $213.80 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $177.83 | Professional | 26 · Professional part | $57.54 | $102.33 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $83.18 | $107.15 | $295.12 |
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 $74.13 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $74.13 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $29.51 | $32.36 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $128.82 Typical High $144.54 | Professional | FX · Film X-ray | $120.23 | $128.82 | $144.54 |
Where Missouri sits
The same service costs 5.2 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· 22nd of 51
$245
AK $525UT $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.