How much rates vary
Facilitymedian $380 · 10th to 90th $182 to $3,162Professionalmedian $200 · 10th to 90th $112 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 $104.71 Median $104.71 Typical High $407.38 | Facility | None | $104.71 | $104.71 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $104.71 | $109.65 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $50.12 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $57.54 | $63.10 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $794.33 | Professional | None (both parts) | $125.89 | $213.80 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $83.18 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $128.82 Typical High $707.95 | Professional | TC · Technical part | $69.18 | $128.82 | $707.95 |
BCBS Kansas City Setting Facility Modifier None Typical Low $177.83 Median $537.03 Typical High $1,348.96 | Facility | None | $177.83 | $537.03 | $1,348.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $125.89 | $131.83 | $186.21 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $56.23 | $58.88 | $77.62 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $70.79 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $380.19 Typical High $2,818.38 | Facility | None | $199.53 | $380.19 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $380.19 | Professional | None (both parts) | $87.10 | $147.91 | $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 $46.77 Median $87.10 Typical High $288.40 | Professional | TC · Technical part | $46.77 | $87.10 | $288.40 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $630.96 Typical High $4,677.35 | Facility | None | $123.03 | $630.96 | $4,677.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $141.25 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $79.43 | $2,884.03 | $2,884.03 |
United Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,248.07 | Facility | None | $5,011.87 | $5,011.87 | $5,248.07 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $380.19 | Professional | None (both parts) | $125.89 | $165.96 | $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 $72.44 Median $93.33 Typical High $257.04 | Professional | TC · Technical part | $72.44 | $93.33 | $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 $52.48 Median $54.95 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $54.95 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $87.10 | $102.33 |
Where Missouri sits
The same service costs 4.8 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
$200
AK $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.