How much rates vary
Facilitymedian $100 · 10th to 90th $63 to $339Professionalmedian $76 · 10th to 90th $44 to $501
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 $40.74 Median $40.74 Typical High $75.86 | Facility | None | $40.74 | $40.74 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $43.65 Typical High $60.26 | Professional | None (both parts) | $40.74 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $19.50 | $21.38 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $22.39 | $34.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $48.98 | $87.10 | $114.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $38.90 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $29.51 | $56.23 |
BCBS Kansas City Setting Facility Modifier None Typical Low $52.48 Median $66.07 Typical High $128.82 | Facility | None | $52.48 | $66.07 | $128.82 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $48.98 Median $52.48 Typical High $81.28 | Professional | None (both parts) | $48.98 | $52.48 | $81.28 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $25.12 | $38.02 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $45.71 | Professional | TC · Technical part | $25.12 | $27.54 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $107.15 Typical High $245.47 | Facility | None | $75.86 | $107.15 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $109.65 | Professional | None (both parts) | $33.88 | $50.12 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $16.22 | $23.44 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $17.78 | $25.70 | $64.57 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $100.00 Typical High $338.84 | Facility | None | $48.98 | $100.00 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $51.29 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $51.29 | $501.19 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $24.55 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $26.30 | $323.59 | $323.59 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $346.74 | Facility | None | $331.13 | $331.13 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $47.86 | $66.07 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $22.39 | $26.92 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $24.55 | $37.15 | $54.95 |
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 $20.42 Median $21.88 Typical High $24.55 | Professional | 52 · Reduced service | $20.42 | $21.88 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $8.71 Typical High $9.77 | Professional | 53 · Discontinued | $8.13 | $8.71 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $34.67 Typical High $38.90 | Professional | FX · Film X-ray | $32.36 | $34.67 | $38.90 |
Where Missouri sits
The same service costs 4.5 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· 14th of 51
$75.86
AK $141UT $31.62
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.