How much rates vary
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 $147.91 Median $147.91 Typical High $165.96 | Facility | None | $147.91 | $147.91 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $177.83 | Professional | None (both parts) | $138.04 | $151.36 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $48.98 | $53.70 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $100.00 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $173.78 Typical High $288.40 | Professional | None (both parts) | $141.25 | $173.78 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $75.86 | $91.20 | $186.21 |
BCBS Kansas City Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $154.88 | Facility | None | $57.54 | $81.28 | $154.88 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $165.96 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $165.96 | $173.78 | $218.78 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $61.66 | $79.43 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $104.71 | $114.82 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $1,862.09 | Facility | None | $218.78 | $416.87 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $120.23 | $162.18 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $40.74 | $60.26 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $97.72 | $199.53 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $346.74 Typical High $2,344.23 | Facility | None | $165.96 | $346.74 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $158.49 | $1,096.48 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $61.66 | $363.08 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $97.72 | $741.31 | $741.31 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,630.27 | Facility | None | $2,454.71 | $2,454.71 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $141.25 | $181.97 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $109.65 | Professional | 26 · Professional part | $58.88 | $69.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $109.65 | $204.17 |
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 $69.18 Median $75.86 Typical High $89.13 | Professional | 52 · Reduced service | $69.18 | $75.86 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.20 Typical High $35.48 | Professional | 53 · Discontinued | $28.18 | $30.20 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $123.03 Typical High $141.25 | Professional | FX · Film X-ray | $117.49 | $123.03 | $141.25 |
Where Missouri sits
The same service costs 4.3 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.
Missouri· 29th of 51
$174
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.