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 $72.44 Median $199.53 Typical High $223.87 | Facility | None | $72.44 | $199.53 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $194.98 | $223.87 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $13.80 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $239.88 | Professional | TC · Technical part | $190.55 | $223.87 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $208.93 | Professional | None (both parts) | $45.71 | $74.13 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $14.79 | $21.88 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $52.48 Typical High $208.93 | Professional | TC · Technical part | $30.20 | $52.48 | $208.93 |
BCBS Kansas City Setting Facility Modifier None Typical Low $36.31 Median $41.69 Typical High $102.33 | Facility | None | $36.31 | $41.69 | $102.33 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | None (both parts) | $81.28 | $81.28 | $89.13 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | 26 · Professional part | $15.14 | $15.85 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $912.01 | Facility | None | $95.50 | $134.90 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $35.48 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $27.54 | Professional | 26 · Professional part | $10.72 | $15.49 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $36.31 | $64.57 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $229.09 Typical High $724.44 | Facility | None | $21.88 | $229.09 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $52.48 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $15.49 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $35.48 | $1,258.93 | $1,258.93 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $794.33 | Facility | None | $758.58 | $758.58 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $48.98 | $263.03 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $27.54 | Professional | 26 · Professional part | $14.45 | $16.98 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $245.47 Typical High $426.58 | Professional | TC · Technical part | $34.67 | $245.47 | $426.58 |
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 $97.72 Median $112.20 Typical High $123.03 | Professional | 52 · Reduced service | $97.72 | $112.20 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $45.71 Typical High $48.98 | Professional | 53 · Discontinued | $38.90 | $45.71 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $181.97 Typical High $194.98 | Professional | FX · Film X-ray | $162.18 | $181.97 | $194.98 |
Where Missouri sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 39th of 51
$81.28
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.