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 $93.33 Median $93.33 Typical High $107.15 | Facility | None | $93.33 | $93.33 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $114.82 | Professional | None (both parts) | $89.13 | $104.71 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $34.67 | $39.81 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $64.57 | $70.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $89.13 | $154.88 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $41.69 | $63.10 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $91.20 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $91.20 | $112.20 |
BCBS Kansas City Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $223.87 | Facility | None | $74.13 | $91.20 | $223.87 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $114.82 | $123.03 | $154.88 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $44.67 | $45.71 | $60.26 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $75.86 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $269.15 Typical High $912.01 | Facility | None | $134.90 | $269.15 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $79.43 | $109.65 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $42.66 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $64.57 | $125.89 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $239.88 Typical High $724.44 | Facility | None | $117.49 | $239.88 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $97.72 | $676.08 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $41.69 | $281.84 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $58.88 | $467.74 | $467.74 |
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 $97.72 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $97.72 | $120.23 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $48.98 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $54.95 | $70.79 | $123.03 |
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 $44.67 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $44.67 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $20.89 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $83.18 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $83.18 | $91.20 |
Where Missouri sits
The same service costs 4.4 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· 26th of 51
$129
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.