How much rates vary
Facilitymedian $275 · 10th to 90th $148 to $2,512Professionalmedian $200 · 10th to 90th $110 to $1,047
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 $147.91 Median $660.69 Typical High $1,479.11 | Facility | None | $147.91 | $660.69 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $128.82 | $147.91 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $52.48 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $165.96 | Professional | TC · Technical part | $83.18 | $95.50 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $37.15 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $102.33 | $218.78 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $72.44 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $56.23 | $141.25 | $190.55 |
BCBS Kansas City Setting Facility Modifier None Typical Low $151.36 Median $190.55 Typical High $371.54 | Facility | None | $151.36 | $190.55 | $371.54 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $190.55 | Professional | None (both parts) | $138.04 | $144.54 | $190.55 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $48.98 | $50.12 | $66.07 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $95.50 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $239.88 Typical High $1,318.26 | Facility | None | $131.83 | $239.88 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $109.65 | $154.88 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $37.15 | $47.86 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $104.71 | $199.53 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $288.40 Typical High $2,511.89 | Facility | None | $158.49 | $288.40 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $1,047.13 Typical High $1,047.13 | Professional | None (both parts) | $151.36 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $50.12 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $100.00 | $776.25 | $776.25 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $83.18 | $83.18 | $83.18 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $331.13 | Professional | None (both parts) | $144.54 | $186.21 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $57.54 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $125.89 | $234.42 |
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 $64.57 Median $74.13 Typical High $85.11 | Professional | 52 · Reduced service | $64.57 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $29.51 Typical High $33.88 | Professional | 53 · Discontinued | $25.70 | $29.51 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $117.49 Typical High $125.89 | Professional | FX · Film X-ray | $102.33 | $117.49 | $125.89 |
Where Missouri sits
The same service costs 4.3 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· 17th of 51
$200
AK $447UT $105
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.