How much rates vary
Facilitymedian $240 · 10th to 90th $162 to $2,951Professionalmedian $219 · 10th to 90th $126 to $457
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 $199.53 Median $199.53 Typical High $295.12 | Facility | None | $199.53 | $199.53 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $199.53 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $23.99 | Professional | 26 · Professional part | $19.95 | $20.89 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $181.97 | $181.97 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $125.89 | $190.55 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $23.44 | $33.11 | $40.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $165.96 Typical High $346.74 | Professional | TC · Technical part | $93.33 | $165.96 | $346.74 |
BCBS Kansas City Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $239.88 | Facility | None | $87.10 | $120.23 | $239.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $199.53 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $407.38 | Professional | None (both parts) | $147.91 | $199.53 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $23.99 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $131.83 | $177.83 | $363.08 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $478.63 Typical High $2,951.21 | Facility | None | $199.53 | $478.63 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $363.08 Typical High $8,912.51 | Professional | None (both parts) | $177.83 | $363.08 | $8,912.51 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $1,148.15 | Professional | 26 · Professional part | $24.55 | $44.67 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $323.59 Typical High $8,128.31 | Professional | TC · Technical part | $154.88 | $323.59 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $177.83 | $234.42 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $22.91 | $27.54 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $151.36 | $208.93 | $354.81 |
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 $100.00 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $39.81 | $40.74 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $165.96 Typical High $194.98 | Professional | FX · Film X-ray | $158.49 | $165.96 | $194.98 |
Where Missouri sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 33rd of 51
$224
AK $661KY $155
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.