How much rates vary
Facilitymedian $437 · 10th to 90th $209 to $15,849Professionalmedian $224 · 10th to 90th $132 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 $123.03 Median $123.03 Typical High $446.68 | Facility | None | $123.03 | $123.03 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $257.04 | Professional | None (both parts) | $123.03 | $134.90 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $45.71 | $48.98 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $85.11 Typical High $181.97 | Professional | TC · Technical part | $77.62 | $85.11 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $794.33 | Professional | None (both parts) | $141.25 | $257.04 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $83.18 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $707.95 | Professional | TC · Technical part | $87.10 | $162.18 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $204.17 Median $537.03 Typical High $1,348.96 | Facility | None | $204.17 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $151.36 | $158.49 | $213.80 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $54.95 | $56.23 | $74.13 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $100.00 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $436.52 Typical High $15,848.93 | Facility | None | $288.40 | $436.52 | $15,848.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $104.71 | $173.78 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $38.02 | $54.95 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $323.59 | Professional | TC · Technical part | $66.07 | $112.20 | $323.59 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $630.96 Typical High $16,218.10 | Facility | None | $151.36 | $630.96 | $16,218.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $162.18 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $56.23 | $645.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $102.33 | $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 $147.91 Median $199.53 Typical High $398.11 | Professional | None (both parts) | $147.91 | $199.53 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $63.10 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $125.89 | $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 $61.66 Median $67.61 Typical High $79.43 | Professional | 52 · Reduced service | $61.66 | $67.61 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $26.92 Typical High $31.62 | Professional | 53 · Discontinued | $24.55 | $26.92 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $107.15 Typical High $120.23 | Professional | FX · Film X-ray | $100.00 | $107.15 | $120.23 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | XU · Unusual separate service | $112.20 | $112.20 | $114.82 |
Where Missouri sits
The same service costs 4.2 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· 20th of 51
$229
AK $437UT $105
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.