How much rates vary
Facilitymedian $229 · 10th to 90th $102 to $513Professionalmedian $126 · 10th to 90th $98 to $724
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 $102.33 Median $123.03 Typical High $158.49 | Facility | None | $102.33 | $123.03 | $158.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $39.81 | Facility | 26 · Professional part | $25.12 | $30.20 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $144.54 | Facility | TC · Technical part | $75.86 | $91.20 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $97.72 | $109.65 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $26.30 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $81.28 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $66.07 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $66.07 | $89.13 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $20.42 | $28.84 | $39.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $199.53 | Professional | None (both parts) | $104.71 | $125.89 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $40.74 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $85.11 | $147.91 |
BCBS Kansas City Setting Facility Modifier None Typical Low $61.66 Median $85.11 Typical High $151.36 | Facility | None | $61.66 | $85.11 | $151.36 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $109.65 Median $117.49 Typical High $151.36 | Professional | None (both parts) | $109.65 | $117.49 | $151.36 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $29.51 Typical High $38.90 | Professional | 26 · Professional part | $28.84 | $29.51 | $38.90 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $81.28 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $467.74 | Facility | None | $190.55 | $302.00 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $79.43 | $100.00 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $26.92 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $72.44 | $151.36 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $239.88 Typical High $575.44 | Facility | None | $112.20 | $239.88 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $112.20 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $26.92 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $85.11 | $549.54 | $549.54 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $162.18 | $162.18 | $190.55 |
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 $104.71 Median $123.03 Typical High $208.93 | Professional | None (both parts) | $104.71 | $123.03 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $25.12 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $77.62 | $95.50 | $162.18 |
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 $48.98 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $19.50 | $20.42 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $81.28 Typical High $93.33 | Professional | FX · Film X-ray | $77.62 | $81.28 | $93.33 |
Where Missouri sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 27th of 51
$126
MN $363FL $89.13
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.