How much rates vary
Facilitymedian $1,000 · 10th to 90th $479 to $4,266Professionalmedian $708 · 10th to 90th $468 to $4,898
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 $389.05 Median $562.34 Typical High $954.99 | Facility | None | $389.05 | $562.34 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $954.99 | Professional | None (both parts) | $389.05 | $489.78 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $223.87 Typical High $457.09 | Professional | 26 · Professional part | $186.21 | $223.87 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $204.17 | $257.04 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $831.76 Typical High $1,949.84 | Professional | None (both parts) | $457.09 | $831.76 | $1,949.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $323.59 Typical High $426.58 | Professional | 26 · Professional part | $218.78 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $1,584.89 | Professional | TC · Technical part | $234.42 | $426.58 | $1,584.89 |
BCBS Kansas City Setting Facility Modifier None Typical Low $380.19 Median $1,202.26 Typical High $2,951.21 | Facility | None | $380.19 | $1,202.26 | $2,951.21 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $501.19 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $501.19 | $537.03 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,000.00 Typical High $4,265.80 | Facility | None | $812.83 | $1,000.00 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $1,096.48 | Professional | None (both parts) | $436.52 | $630.96 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $288.40 Typical High $478.63 | Professional | 26 · Professional part | $213.80 | $288.40 | $478.63 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $323.59 Typical High $645.65 | Professional | TC · Technical part | $218.78 | $323.59 | $645.65 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $1,513.56 Typical High $4,265.80 | Facility | None | $691.83 | $1,513.56 | $4,265.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,479.11 Typical High $7,413.10 | Professional | None (both parts) | $512.86 | $1,479.11 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $501.19 Typical High $1,698.24 | Professional | 26 · Professional part | $234.42 | $501.19 | $1,698.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $1,071.52 Typical High $6,165.95 | Professional | TC · Technical part | $269.15 | $1,071.52 | $6,165.95 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,570.88 | Facility | None | $4,365.16 | $4,365.16 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $602.56 Typical High $1,288.25 | Professional | None (both parts) | $501.19 | $602.56 | $1,288.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $275.42 Typical High $524.81 | Professional | 26 · Professional part | $229.09 | $275.42 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $794.33 | Professional | TC · Technical part | $263.03 | $309.03 | $794.33 |
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 $194.98 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $194.98 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $77.62 | $93.33 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | FX · Film X-ray | $316.23 | $371.54 | $407.38 |
Where Missouri sits
The same service costs 4.9 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· 22nd of 51
$741
AK $1,905FL $389
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.