How much rates vary
Facilitymedian $339 · 10th to 90th $100 to $8,913Professionalmedian $245 · 10th to 90th $132 to $4,898
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 $83.18 Median $2,570.40 Typical High $2,884.03 | Facility | None | $83.18 | $2,570.40 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $2,570.40 Typical High $3,090.30 | Professional | None (both parts) | $275.42 | $2,570.40 | $3,090.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $87.10 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $2,511.89 Typical High $3,090.30 | Professional | TC · Technical part | $154.88 | $2,511.89 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $524.81 | Professional | None (both parts) | $134.90 | $194.98 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $134.90 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $57.54 Typical High $263.03 | Professional | TC · Technical part | $38.90 | $57.54 | $263.03 |
BCBS Kansas City Setting Facility Modifier None Typical Low $44.67 Median $58.88 Typical High $112.20 | Facility | None | $44.67 | $58.88 | $112.20 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $281.84 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $281.84 | $302.00 | $389.05 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $117.49 | $144.54 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $165.96 | $181.97 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $5,888.44 | Facility | None | $107.15 | $173.78 | $5,888.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $97.72 | $138.04 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $66.07 | $93.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $31.62 | $43.65 | $81.28 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $870.96 Typical High $9,332.54 | Facility | None | $134.90 | $870.96 | $9,332.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $4,897.79 Typical High $4,897.79 | Professional | None (both parts) | $162.18 | $4,897.79 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $87.10 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $4,786.30 Typical High $4,786.30 | Professional | TC · Technical part | $64.57 | $4,786.30 | $4,786.30 |
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 $147.91 Median $1,737.80 Typical High $4,677.35 | Professional | None (both parts) | $147.91 | $1,737.80 | $4,677.35 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $104.71 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $1,659.59 Typical High $4,365.16 | Professional | TC · Technical part | $58.88 | $1,659.59 | $4,365.16 |
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 $977.24 Median $1,445.44 Typical High $1,548.82 | Professional | 52 · Reduced service | $977.24 | $1,445.44 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $575.44 Typical High $616.60 | Professional | 53 · Discontinued | $389.05 | $575.44 | $616.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,995.26 Median $2,290.87 Typical High $2,398.83 | Professional | FX · Film X-ray | $1,995.26 | $2,290.87 | $2,398.83 |
Where Missouri sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 36th of 51
$245
CO $3,467NM $132
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.