How much rates vary
Facilitymedian $155 · 10th to 90th $91 to $468Professionalmedian $123 · 10th to 90th $83 to $759
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 $109.65 Typical High $147.91 | Facility | None | $83.18 | $109.65 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $83.18 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $35.48 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $52.48 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $41.69 | $54.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $93.33 | $144.54 | $177.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $53.70 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $91.20 | $114.82 |
BCBS Kansas City Setting Facility Modifier None Typical Low $85.11 Median $109.65 Typical High $208.93 | Facility | None | $85.11 | $109.65 | $208.93 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $138.04 | Professional | None (both parts) | $97.72 | $102.33 | $138.04 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $41.69 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $41.69 | $51.29 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $56.23 | $61.66 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $69.18 | $87.10 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $30.20 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $104.71 | Professional | TC · Technical part | $41.69 | $56.23 | $104.71 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $199.53 Typical High $467.74 | Facility | None | $100.00 | $199.53 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $100.00 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $35.48 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $64.57 | $501.19 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $134.90 | Professional | None (both parts) | $91.20 | $117.49 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $32.36 | $37.15 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $81.28 | $89.13 |
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 $41.69 Median $42.66 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $42.66 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.98 Typical High $20.42 | Professional | 53 · Discontinued | $16.60 | $16.98 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | FX · Film X-ray | $67.61 | $67.61 | $81.28 |
Where Missouri sits
The same service costs 4.5 times more in Alaska than in Texas. 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· 21st of 51
$123
AK $295TX $66.07
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.