How much rates vary
Facilitymedian $372 · 10th to 90th $135 to $9,550Professionalmedian $191 · 10th to 90th $107 to $3,388
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 $85.11 Median $112.20 Typical High $162.18 | Facility | None | $85.11 | $112.20 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $223.87 | Professional | None (both parts) | $100.00 | $112.20 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $51.29 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $151.36 | Professional | TC · Technical part | $53.70 | $60.26 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $794.33 | Professional | None (both parts) | $120.23 | $204.17 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $54.95 | $85.11 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $707.95 | Professional | TC · Technical part | $66.07 | $114.82 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $169.82 Median $537.03 Typical High $1,348.96 | Facility | None | $169.82 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $120.23 | $125.89 | $186.21 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $58.88 | $75.86 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $66.07 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $66.07 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $371.54 Typical High $9,549.93 | Facility | None | $190.55 | $371.54 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $144.54 Typical High $380.19 | Professional | None (both parts) | $83.18 | $144.54 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $102.33 | Professional | 26 · Professional part | $38.90 | $56.23 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $83.18 Typical High $288.40 | Professional | TC · Technical part | $43.65 | $83.18 | $288.40 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $630.96 Typical High $9,332.54 | Facility | None | $120.23 | $630.96 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $134.90 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $57.54 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $74.13 | $2,884.03 | $2,884.03 |
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 $123.03 Median $162.18 Typical High $380.19 | Professional | None (both parts) | $123.03 | $162.18 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $64.57 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $257.04 | Professional | TC · Technical part | $67.61 | $87.10 | $257.04 |
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 $50.12 Median $53.70 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $53.70 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $21.38 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $85.11 Typical High $97.72 | Professional | FX · Film X-ray | $79.43 | $85.11 | $97.72 |
Where Missouri sits
The same service costs 4.8 times more in Kansas 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· 19th of 51
$191
KS $363UT $75.86
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.