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 $478.63 Median $1,148.15 Typical High $2,089.30 | Facility | None | $478.63 | $1,148.15 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $512.86 Typical High $741.31 | Professional | None (both parts) | $426.58 | $512.86 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $95.50 | $125.89 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $549.54 | Professional | TC · Technical part | $302.00 | $389.05 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | None (both parts) | $263.03 | $263.03 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $707.95 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $707.95 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $131.83 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $562.34 Typical High $1,174.90 | Professional | TC · Technical part | $295.12 | $562.34 | $1,174.90 |
BCBS Kansas City Setting Facility Modifier None Typical Low $933.25 Median $1,122.02 Typical High $2,344.23 | Facility | None | $933.25 | $1,122.02 | $2,344.23 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $363.08 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $363.08 | $371.54 | $645.65 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $89.13 | $93.33 | $120.23 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $269.15 | $281.84 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $1,380.38 Typical High $3,388.44 | Facility | None | $524.81 | $1,380.38 | $3,388.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $1,122.02 | Professional | None (both parts) | $288.40 | $489.78 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $89.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $1,000.00 | Professional | TC · Technical part | $218.78 | $389.05 | $1,000.00 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $1,288.25 Typical High $3,388.44 | Facility | None | $537.03 | $1,288.25 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $426.58 | $5,370.32 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $89.13 | $812.83 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $4,897.79 Typical High $4,897.79 | Professional | TC · Technical part | $316.23 | $4,897.79 | $4,897.79 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,174.90 | Facility | None | $1,096.48 | $1,096.48 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $575.44 Typical High $1,000.00 | Professional | None (both parts) | $380.19 | $575.44 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $186.21 | Professional | 26 · Professional part | $85.11 | $104.71 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $436.52 | $891.25 |
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 $208.93 Median $257.04 Typical High $302.00 | Professional | 52 · Reduced service | $208.93 | $257.04 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $104.71 Typical High $120.23 | Professional | 53 · Discontinued | $85.11 | $104.71 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $338.84 Median $416.87 Typical High $457.09 | Professional | FX · Film X-ray | $338.84 | $416.87 | $457.09 |
Where Missouri sits
The same service costs 5.6 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· 18th of 51
$676
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.