How much rates vary
Facilitymedian $851 · 10th to 90th $251 to $18,621Professionalmedian $479 · 10th to 90th $363 to $1,905
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 $173.78 Median $323.59 Typical High $389.05 | Facility | None | $173.78 | $323.59 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $416.87 | Professional | None (both parts) | $323.59 | $389.05 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $257.04 Typical High $281.84 | Professional | 26 · Professional part | $218.78 | $257.04 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $134.90 | Professional | TC · Technical part | $104.71 | $125.89 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $8,709.64 Median $17,378.01 Typical High $21,877.62 | Facility | None | $8,709.64 | $17,378.01 | $21,877.62 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $363.08 | $478.63 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $398.11 Typical High $501.19 | Professional | 26 · Professional part | $257.04 | $398.11 | $501.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $107.15 | $213.80 |
BCBS Kansas City Setting Facility Modifier None Typical Low $57.54 Median $79.43 Typical High $165.96 | Facility | None | $57.54 | $79.43 | $165.96 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $416.87 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $416.87 | $436.52 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $489.78 Typical High $851.14 | Facility | None | $251.19 | $489.78 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $776.25 | Professional | None (both parts) | $363.08 | $457.09 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $331.13 Typical High $562.34 | Professional | 26 · Professional part | $245.47 | $331.13 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $114.82 | $138.04 | $245.47 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $776.25 Typical High $1,819.70 | Facility | None | $426.58 | $776.25 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $891.25 Typical High $2,511.89 | Professional | None (both parts) | $363.08 | $891.25 | $2,511.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $602.56 Typical High $2,137.96 | Professional | 26 · Professional part | $263.03 | $602.56 | $2,137.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $288.40 Typical High $1,698.24 | Professional | TC · Technical part | $104.71 | $288.40 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Facility | None | $1,202.26 | $1,202.26 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $831.76 | Professional | None (both parts) | $363.08 | $446.68 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $316.23 Typical High $588.84 | Professional | 26 · Professional part | $257.04 | $316.23 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $104.71 | $138.04 | $257.04 |
4 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 $162.18 Median $190.55 Typical High $208.93 | Professional | 52 · Reduced service | $162.18 | $190.55 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $77.62 Typical High $83.18 | Professional | 53 · Discontinued | $64.57 | $77.62 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $269.15 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $223.87 | $269.15 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $309.03 Typical High $331.13 | Professional | FX · Film X-ray | $257.04 | $309.03 | $331.13 |
Where Missouri sits
The same service costs 5.9 times more in Alaska than in Alabama. 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· 23rd of 51
$479
AK $1,585AL $269
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.