How much rates vary
Facilitymedian $263 · 10th to 90th $115 to $575Professionalmedian $145 · 10th to 90th $85 to $741
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 $104.71 Median $117.49 Typical High $239.88 | Facility | None | $104.71 | $117.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $102.33 | $117.49 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $30.90 | $33.88 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $83.18 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $38.02 | $63.10 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $128.82 Typical High $199.53 | Professional | None (both parts) | $61.66 | $128.82 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $53.70 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $56.23 | $85.11 | $138.04 |
BCBS Kansas City Setting Facility Modifier None Typical Low $66.07 Median $93.33 Typical High $181.97 | Facility | None | $66.07 | $93.33 | $181.97 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $134.90 | $144.54 | $186.21 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $38.02 | $50.12 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $97.72 | $104.71 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $309.03 Typical High $457.09 | Facility | None | $165.96 | $309.03 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $97.72 | $120.23 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $34.67 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $89.13 | $181.97 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $234.42 Typical High $575.44 | Facility | None | $128.82 | $234.42 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $138.04 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $263.03 Typical High $263.03 | Professional | 26 · Professional part | $34.67 | $263.03 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $102.33 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $128.82 | $151.36 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $69.18 | Professional | 26 · Professional part | $33.88 | $39.81 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $194.98 | Professional | TC · Technical part | $93.33 | $114.82 | $194.98 |
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 $52.48 Median $58.88 Typical High $63.10 | Professional | 52 · Reduced service | $52.48 | $58.88 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $23.44 Typical High $25.70 | Professional | 53 · Discontinued | $20.89 | $23.44 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $93.33 Typical High $102.33 | Professional | FX · Film X-ray | $83.18 | $93.33 | $102.33 |
Where Missouri sits
The same service costs 3.7 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
$145
AK $363TX $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.