How much rates vary
Facilitymedian $20 · 10th to 90th $10 to $263Professionalmedian $9 · 10th to 90th $5 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 $6.03 Median $6.03 Typical High $22.91 | Facility | None | $6.03 | $6.03 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.03 Median $6.92 Typical High $7.76 | Professional | None (both parts) | $6.03 | $6.92 | $7.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.29 Median $2.51 Typical High $2.82 | Professional | 26 · Professional part | $2.29 | $2.51 | $2.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $4.17 Typical High $4.90 | Professional | TC · Technical part | $3.72 | $4.17 | $4.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $4.57 Median $9.77 Typical High $67.61 | Professional | None (both parts) | $4.57 | $9.77 | $67.61 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $4.47 Typical High $18.20 | Professional | 26 · Professional part | $2.75 | $4.47 | $18.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $7.41 Typical High $50.12 | Professional | TC · Technical part | $4.07 | $7.41 | $50.12 |
BCBS Kansas City Setting Facility Modifier None Typical Low $8.51 Median $35.48 Typical High $87.10 | Facility | None | $8.51 | $35.48 | $87.10 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $7.76 Median $8.51 Typical High $10.47 | Professional | None (both parts) | $7.76 | $8.51 | $10.47 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $3.02 Typical High $3.89 | Professional | 26 · Professional part | $2.88 | $3.02 | $3.89 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $5.01 Median $5.37 Typical High $6.61 | Professional | TC · Technical part | $5.01 | $5.37 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $19.50 Typical High $245.47 | Facility | None | $14.45 | $19.50 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.37 Median $8.51 Typical High $21.88 | Professional | None (both parts) | $5.37 | $8.51 | $21.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $1.95 Median $2.88 Typical High $5.13 | Professional | 26 · Professional part | $1.95 | $2.88 | $5.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $5.25 Typical High $16.22 | Professional | TC · Technical part | $3.31 | $5.25 | $16.22 |
Medica Setting Facility Modifier None Typical Low $7.76 Median $29.51 Typical High $316.23 | Facility | None | $7.76 | $29.51 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.59 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $7.59 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $2.75 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $2.75 | $81.28 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.47 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $4.47 | $741.31 | $741.31 |
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 $7.24 Median $8.32 Typical High $20.89 | Professional | None (both parts) | $7.24 | $8.32 | $20.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.16 Typical High $5.75 | Professional | 26 · Professional part | $2.51 | $3.16 | $5.75 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.50 Typical High $14.13 | Professional | TC · Technical part | $4.37 | $5.50 | $14.13 |
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 $3.02 Median $3.47 Typical High $3.80 | Professional | 52 · Reduced service | $3.02 | $3.47 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.38 Typical High $1.51 | Professional | 53 · Discontinued | $1.23 | $1.38 | $1.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.90 Median $5.50 Typical High $5.89 | Professional | FX · Film X-ray | $4.90 | $5.50 | $5.89 |
Where Missouri sits
The same service costs 4.2 times more in Kansas 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· 33rd of 51
$9.55
KS $23.99FL $5.75
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.