How much rates vary
Facilitymedian $214 · 10th to 90th $100 to $513Professionalmedian $120 · 10th to 90th $85 to $646
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 $87.10 Median $112.20 Typical High $138.04 | Facility | None | $87.10 | $112.20 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $87.10 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $28.18 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $64.57 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $85.11 | $128.82 | $173.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $30.90 | $44.67 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $120.23 | Professional | TC · Technical part | $54.95 | $72.44 | $120.23 |
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 $100.00 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $100.00 | $107.15 | $138.04 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $32.36 Typical High $41.69 | Professional | 26 · Professional part | $30.90 | $32.36 | $41.69 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $67.61 | $74.13 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $239.88 Typical High $316.23 | Facility | None | $158.49 | $239.88 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $72.44 | $93.33 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $29.51 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $64.57 | $128.82 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $213.80 Typical High $512.86 | Facility | None | $102.33 | $213.80 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $645.65 Typical High $645.65 | Professional | None (both parts) | $95.50 | $645.65 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $29.51 | $229.09 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $69.18 | $467.74 | $467.74 |
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 $95.50 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $95.50 | $109.65 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $33.88 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $77.62 | $138.04 |
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 $43.65 Median $45.71 Typical High $53.70 | Professional | 52 · Reduced service | $43.65 | $45.71 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $18.62 Typical High $21.38 | Professional | 53 · Discontinued | $17.78 | $18.62 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $74.13 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $74.13 | $85.11 |
Where Missouri sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 20th of 51
$123
AK $302UT $72.44
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.