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 $338.84 Median $1,513.56 Typical High $2,089.30 | Facility | None | $338.84 | $1,513.56 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $309.03 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $93.33 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $257.04 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $53.70 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $239.88 | $446.68 | $758.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $104.71 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $173.78 | $354.81 | $660.69 |
BCBS Kansas City Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $1,174.90 | Facility | None | $467.74 | $602.56 | $1,174.90 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $234.42 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $234.42 | $245.47 | $389.05 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $67.61 | $69.18 | $91.20 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $173.78 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $851.14 Typical High $2,089.30 | Facility | None | $354.81 | $851.14 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $190.55 | $309.03 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $67.61 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $549.54 | Professional | TC · Technical part | $138.04 | $229.09 | $549.54 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $794.33 Typical High $2,570.40 | Facility | None | $354.81 | $794.33 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $281.84 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $69.18 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $204.17 | $2,454.71 | $2,454.71 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
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 $257.04 Median $380.19 Typical High $794.33 | Professional | None (both parts) | $257.04 | $380.19 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $281.84 Typical High $588.84 | Professional | TC · Technical part | $190.55 | $281.84 | $588.84 |
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 $154.88 Median $169.82 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $67.61 Typical High $85.11 | Professional | 53 · Discontinued | $61.66 | $67.61 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $269.15 Typical High $338.84 | Professional | FX · Film X-ray | $251.19 | $269.15 | $338.84 |
Where Missouri sits
The same service costs 5.8 times more in Wyoming 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· 23rd of 51
$447
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.