How much rates vary
Facilitymedian $575 · 10th to 90th $275 to $1,259Professionalmedian $316 · 10th to 90th $200 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 $186.21 Median $190.55 Typical High $707.95 | Facility | None | $186.21 | $190.55 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $186.21 | $208.93 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $107.15 | Professional | 26 · Professional part | $39.81 | $44.67 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $162.18 Typical High $363.08 | Professional | TC · Technical part | $144.54 | $162.18 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 26 · Professional part | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $208.93 | $331.13 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $47.86 | $69.18 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $257.04 | $323.59 |
BCBS Kansas City Setting Facility Modifier None Typical Low $234.42 Median $302.00 Typical High $588.84 | Facility | None | $234.42 | $302.00 | $588.84 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $218.78 | $223.87 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $630.96 Typical High $1,348.96 | Facility | None | $501.19 | $630.96 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $138.04 | $275.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $33.11 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $117.49 | $218.78 | $354.81 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $1,230.27 | Facility | None | $323.59 | $436.52 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $1,479.11 | Professional | None (both parts) | $239.88 | $436.52 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $95.50 Typical High $501.19 | Professional | 26 · Professional part | $48.98 | $95.50 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $346.74 Typical High $1,230.27 | Professional | TC · Technical part | $186.21 | $346.74 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,318.26 | Facility | None | $1,258.93 | $1,258.93 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $218.78 | $302.00 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $154.88 | Professional | 26 · Professional part | $46.77 | $61.66 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $245.47 Typical High $562.34 | Professional | TC · Technical part | $173.78 | $245.47 | $562.34 |
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 $91.20 Median $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.02 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.02 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | FX · Film X-ray | $147.91 | $154.88 | $177.83 |
Where Missouri sits
The same service costs 3.5 times more in Wisconsin than in Texas. 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
$331
WI $676TX $191
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.