How much rates vary
Facilitymedian $1,413 · 10th to 90th $871 to $4,677Professionalmedian $1,318 · 10th to 90th $871 to $2,344
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 $870.96 Median $870.96 Typical High $1,778.28 | Facility | None | $870.96 | $870.96 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $933.25 Typical High $1,047.13 | Professional | None (both parts) | $776.25 | $933.25 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $67.61 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $870.96 Typical High $977.24 | Professional | TC · Technical part | $724.44 | $870.96 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,445.44 Typical High $1,995.26 | Professional | None (both parts) | $977.24 | $1,445.44 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $107.15 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $107.15 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $1,348.96 Typical High $1,995.26 | Professional | TC · Technical part | $891.25 | $1,348.96 | $1,995.26 |
BCBS Kansas City Setting Facility Modifier None Typical Low $1,047.13 Median $1,348.96 Typical High $2,570.40 | Facility | None | $1,047.13 | $1,348.96 | $2,570.40 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $323.59 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $323.59 | $346.74 | $446.68 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $141.25 | $154.88 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $186.21 | $204.17 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $954.99 Typical High $1,862.09 | Professional | None (both parts) | $724.44 | $954.99 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $67.61 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $870.96 Typical High $1,737.80 | Professional | TC · Technical part | $660.69 | $870.96 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,479.11 Typical High $4,677.35 | Facility | None | $229.09 | $1,479.11 | $4,677.35 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,905.46 Typical High $8,511.38 | Professional | None (both parts) | $1,071.52 | $1,905.46 | $8,511.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $141.25 Typical High $933.25 | Professional | 26 · Professional part | $69.18 | $141.25 | $933.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,995.26 Typical High $7,762.47 | Professional | TC · Technical part | $1,000.00 | $1,995.26 | $7,762.47 |
United Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,258.93 Typical High $2,238.72 | Professional | None (both parts) | $1,000.00 | $1,258.93 | $2,238.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $81.28 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,202.26 Typical High $2,089.30 | Professional | TC · Technical part | $933.25 | $1,202.26 | $2,089.30 |
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 $426.58 Median $467.74 Typical High $524.81 | Professional | 52 · Reduced service | $426.58 | $467.74 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $190.55 Typical High $208.93 | Professional | 53 · Discontinued | $173.78 | $190.55 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $691.83 Median $758.58 Typical High $831.76 | Professional | FX · Film X-ray | $691.83 | $758.58 | $831.76 |
Where Missouri sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 10th of 51
$1,318
AK $2,754OR $135
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.