How much rates vary
Facilitymedian $141 · 10th to 90th $72 to $589Professionalmedian $115 · 10th to 90th $79 to $1,288
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 $77.62 Median $104.71 Typical High $123.03 | Facility | None | $77.62 | $104.71 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $77.62 | $85.11 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $43.65 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $39.81 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $39.81 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $138.04 | $138.04 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $87.10 | $147.91 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $70.79 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $58.88 | $81.28 |
BCBS Kansas City Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $128.82 | Facility | None | $51.29 | $70.79 | $128.82 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $91.20 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $91.20 | $97.72 | $125.89 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $67.61 | Professional | 26 · Professional part | $51.29 | $52.48 | $67.61 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $44.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $177.83 Typical High $213.80 | Facility | None | $67.61 | $177.83 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $63.10 | $89.13 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $46.77 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $41.69 Typical High $79.43 | Professional | TC · Technical part | $29.51 | $41.69 | $79.43 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $169.82 Typical High $588.84 | Facility | None | $91.20 | $169.82 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $91.20 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $501.19 Typical High $501.19 | Professional | 26 · Professional part | $45.71 | $501.19 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $43.65 | $794.33 | $794.33 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $87.10 | $100.00 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $44.67 | $53.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $40.74 | $47.86 | $81.28 |
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 $38.90 Median $40.74 Typical High $46.77 | Professional | 52 · Reduced service | $38.90 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $18.62 | Professional | 53 · Discontinued | $15.49 | $16.22 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $64.57 Typical High $75.86 | Professional | FX · Film X-ray | $61.66 | $64.57 | $75.86 |
Where Missouri sits
The same service costs 4.2 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· 19th of 51
$115
AK $275TX $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.