How much rates vary
Facilitymedian $240 · 10th to 90th $129 to $776Professionalmedian $214 · 10th to 90th $126 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 $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $114.82 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $69.18 | $75.86 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $56.23 | Professional | TC · Technical part | $45.71 | $51.29 | $56.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $128.82 | $218.78 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $134.90 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $45.71 | $87.10 | $134.90 |
BCBS Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $281.84 | Facility | None | $91.20 | $112.20 | $281.84 |
BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $138.04 | $144.54 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $204.17 Typical High $870.96 | Facility | None | $162.18 | $204.17 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $95.50 | $186.21 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $109.65 Typical High $177.83 | Professional | 26 · Professional part | $57.54 | $109.65 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $37.15 | $69.18 | $114.82 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $676.08 | Facility | None | $141.25 | $295.12 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $446.68 Typical High $1,174.90 | Professional | None (both parts) | $144.54 | $446.68 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $269.15 Typical High $912.01 | Professional | 26 · Professional part | $91.20 | $269.15 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $169.82 Typical High $912.01 | Professional | TC · Technical part | $54.95 | $169.82 | $912.01 |
United Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $776.25 | Facility | None | $741.31 | $741.31 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $446.68 | Professional | None (both parts) | $134.90 | $204.17 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $269.15 | Professional | 26 · Professional part | $83.18 | $120.23 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $52.48 | $79.43 | $173.78 |
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 $57.54 Median $63.10 Typical High $69.18 | Professional | 52 · Reduced service | $57.54 | $63.10 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $22.91 | $25.12 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $100.00 Typical High $112.20 | Professional | FX · Film X-ray | $91.20 | $100.00 | $112.20 |
Where Missouri sits
The same service costs 5.6 times more in Alaska 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· 18th of 51
$214
AK $525TX $93.33
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.