How much rates vary
Facilitymedian $138 · 10th to 90th $71 to $309Professionalmedian $91 · 10th to 90th $59 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 $58.88 Median $63.10 Typical High $85.11 | Facility | None | $58.88 | $63.10 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $85.11 | Professional | None (both parts) | $58.88 | $63.10 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $33.88 | Professional | 26 · Professional part | $26.30 | $28.84 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $32.36 | $34.67 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $53.70 | $53.70 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $60.26 | $97.72 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $30.20 | $43.65 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $30.20 | $61.66 | $87.10 |
BCBS Kansas City Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $138.04 | Facility | None | $56.23 | $72.44 | $138.04 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $70.79 Median $75.86 Typical High $107.15 | Professional | None (both parts) | $70.79 | $75.86 | $107.15 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $32.36 | $33.11 | $43.65 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $42.66 Typical High $61.66 | Professional | TC · Technical part | $38.90 | $42.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $288.40 | Facility | None | $117.49 | $147.91 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $125.89 | Professional | None (both parts) | $48.98 | $67.61 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $28.18 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $27.54 | $38.02 | $77.62 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $144.54 Typical High $316.23 | Facility | None | $70.79 | $144.54 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $70.79 | $501.19 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $28.84 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $37.15 | $323.59 | $323.59 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
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 $64.57 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $64.57 | $75.86 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $33.11 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $45.71 | $72.44 |
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 $29.51 Median $31.62 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.59 Typical High $14.13 | Professional | 53 · Discontinued | $11.75 | $12.59 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $51.29 Typical High $56.23 | Professional | FX · Film X-ray | $46.77 | $51.29 | $56.23 |
Where Missouri sits
The same service costs 3.8 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· 20th of 51
$91.20
AK $204TX $53.70
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.