How much rates vary
Facilitymedian $316 · 10th to 90th $47 to $955Professionalmedian $87 · 10th to 90th $46 to $219
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 $46.77 Median $316.23 Typical High $954.99 | Facility | None | $46.77 | $316.23 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | 26 · Professional part | $12.88 | $12.88 | $12.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Facility | TC · Technical part | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $141.25 | Professional | None (both parts) | $38.90 | $46.77 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.88 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $12.88 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $47.86 | Professional | TC · Technical part | $25.70 | $33.88 | $47.86 |
BCBS Setting Facility Modifier None Typical Low $141.25 Median $251.19 Typical High $467.74 | Facility | None | $141.25 | $251.19 | $467.74 |
BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $75.86 | $95.50 | $141.25 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $40.74 | Professional | 26 · Professional part | $21.38 | $27.54 | $40.74 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $104.71 | Professional | TC · Technical part | $51.29 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $457.09 | Facility | None | $100.00 | $154.88 | $457.09 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $128.82 | Facility | 26 · Professional part | $27.54 | $43.65 | $128.82 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $331.13 | Facility | TC · Technical part | $72.44 | $112.20 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $83.18 Typical High $147.91 | Professional | None (both parts) | $40.74 | $83.18 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $13.18 | $23.99 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $56.23 Typical High $107.15 | Professional | TC · Technical part | $26.92 | $56.23 | $107.15 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $363.08 | Facility | None | $91.20 | $151.36 | $363.08 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $42.66 Typical High $100.00 | Facility | 26 · Professional part | $25.70 | $42.66 | $100.00 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $257.04 | Facility | TC · Technical part | $66.07 | $109.65 | $257.04 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | None (both parts) | $69.18 | $69.18 | $134.90 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $37.15 | Professional | 26 · Professional part | $19.50 | $19.50 | $37.15 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $50.12 | $95.50 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $218.78 Typical High $741.31 | Facility | None | $79.43 | $218.78 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $44.67 | $131.83 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $37.15 Typical High $83.18 | Professional | 26 · Professional part | $15.85 | $37.15 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $77.62 Typical High $208.93 | Professional | TC · Technical part | $29.51 | $77.62 | $208.93 |
United Setting Facility Modifier None Typical Low $263.03 Median $281.84 Typical High $371.54 | Facility | None | $263.03 | $281.84 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $64.57 Typical High $141.25 | Professional | None (both parts) | $41.69 | $64.57 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $13.49 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $39.81 Typical High $95.50 | Professional | TC · Technical part | $27.54 | $39.81 | $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 Facility Modifier 52 · Reduced service Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | 52 · Reduced service | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $23.44 Typical High $33.88 | Professional | 52 · Reduced service | $19.05 | $23.44 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $31.62 Typical High $39.81 | Professional | FX · Film X-ray | $28.84 | $31.62 | $39.81 |
Where Minnesota sits
The same service costs 4.0 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.
Minnesota· 4th of 51
$91.20
AK $132UT $33.11
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.