How much rates vary
Facilitymedian $229 · 10th to 90th $115 to $537Professionalmedian $141 · 10th to 90th $102 to $776
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 $109.65 Median $134.90 Typical High $169.82 | Facility | None | $109.65 | $134.90 | $169.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $30.90 Median $39.81 Typical High $48.98 | Facility | 26 · Professional part | $30.90 | $39.81 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $95.50 Typical High $154.88 | Facility | TC · Technical part | $77.62 | $95.50 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $104.71 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.11 Typical High $56.23 | Professional | 26 · Professional part | $28.84 | $33.11 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $85.11 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $77.62 | $91.20 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $36.31 | $48.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $107.15 | $125.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $109.65 | $144.54 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $50.12 | $66.07 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $85.11 | $154.88 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $162.18 | Facility | None | $66.07 | $93.33 | $162.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $120.23 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $120.23 | $128.82 | $162.18 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $36.31 | $47.86 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $91.20 Typical High $114.82 | Professional | TC · Technical part | $85.11 | $91.20 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $467.74 | Facility | None | $199.53 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $85.11 | $104.71 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $33.11 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $58.88 | $72.44 | $154.88 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $251.19 Typical High $588.84 | Facility | None | $123.03 | $251.19 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $117.49 | $776.25 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $33.11 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $575.44 | $575.44 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $173.78 | $173.78 | $204.17 |
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 $112.20 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $112.20 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $77.62 | $93.33 | $165.96 |
4 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 $52.48 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $54.95 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $21.88 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $87.10 | $102.33 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $87.10 Typical High $117.49 | Professional | 59 · Distinct service | $83.18 | $87.10 | $117.49 |
Where Missouri sits
The same service costs 3.6 times more in Alaska 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· 23rd of 51
$141
AK $355FL $97.72
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.