How much rates vary
Facilitymedian $174 · 10th to 90th $81 to $457Professionalmedian $93 · 10th to 90th $54 to $525
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 $75.86 Median $95.50 Typical High $128.82 | Facility | None | $75.86 | $95.50 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $141.25 | Professional | None (both parts) | $70.79 | $79.43 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $30.20 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $87.10 | Professional | TC · Technical part | $43.65 | $48.98 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $123.03 | Professional | None (both parts) | $57.54 | $67.61 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $33.11 | $46.77 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $52.48 | $95.50 | $141.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $38.90 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $44.67 | $57.54 | $107.15 |
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 $83.18 Median $89.13 Typical High $117.49 | Professional | None (both parts) | $83.18 | $89.13 | $117.49 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $34.67 Typical High $44.67 | Professional | 26 · Professional part | $33.11 | $34.67 | $44.67 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $54.95 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $186.21 Typical High $457.09 | Facility | None | $151.36 | $186.21 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $58.88 | $79.43 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $58.88 | Professional | 26 · Professional part | $22.39 | $30.90 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $36.31 | $50.12 | $91.20 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $177.83 Typical High $512.86 | Facility | None | $100.00 | $177.83 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $85.11 | $524.81 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $30.90 | $194.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $53.70 | $331.13 | $331.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $123.03 | $123.03 | $144.54 |
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 $79.43 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $79.43 | $93.33 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $35.48 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $57.54 | $95.50 |
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 $35.48 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $35.48 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $14.13 | $15.14 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $60.26 Typical High $69.18 | Professional | FX · Film X-ray | $56.23 | $60.26 | $69.18 |
Where Missouri sits
The same service costs 3.6 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· 31st of 51
$95.50
AK $245TX $67.61
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.