How much rates vary
Facilitymedian $380 · 10th to 90th $155 to $9,550Professionalmedian $200 · 10th to 90th $112 to $3,311
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 $138.04 Typical High $407.38 | Facility | None | $104.71 | $138.04 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $104.71 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $48.98 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $134.90 | Professional | TC · Technical part | $58.88 | $63.10 | $134.90 |
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 $54.95 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $85.11 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $707.95 | Professional | TC · Technical part | $70.79 | $131.83 | $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 $194.98 | Professional | None (both parts) | $125.89 | $131.83 | $194.98 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $56.23 | $79.43 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $74.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $9,549.93 | Facility | None | $213.80 | $380.19 | $9,549.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $389.05 | Professional | None (both parts) | $87.10 | $154.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $56.23 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $91.20 Typical High $288.40 | Professional | TC · Technical part | $48.98 | $91.20 | $288.40 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $478.63 Typical High $9,332.54 | Facility | None | $125.89 | $478.63 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $141.25 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $57.54 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $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 $125.89 Median $169.82 Typical High $380.19 | Professional | None (both parts) | $125.89 | $169.82 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $53.70 | $64.57 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $257.04 | Professional | TC · Technical part | $74.13 | $95.50 | $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 $56.23 Typical High $66.07 | Professional | 52 · Reduced service | $52.48 | $56.23 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $26.30 | Professional | 53 · Discontinued | $20.89 | $22.39 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $89.13 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $89.13 | $102.33 |
Where Missouri sits
The same service costs 4.9 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· 19th of 51
$200
AK $372UT $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.