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 $29.51 Median $33.11 Typical High $43.65 | Facility | None | $29.51 | $33.11 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $30.90 Typical High $52.48 | Professional | None (both parts) | $28.84 | $30.90 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $8.32 | $8.91 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $21.88 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $21.88 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.41 Typical High $10.47 | Professional | 26 · Professional part | $7.24 | $7.41 | $10.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $28.18 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $14.45 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $18.20 | $33.11 | $42.66 |
BCBS Kansas City Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $69.18 | Facility | None | $28.18 | $35.48 | $69.18 |
BCBS Kansas City Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $33.88 | $36.31 | $46.77 |
BCBS Kansas City Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.47 Typical High $13.80 | Professional | 26 · Professional part | $10.23 | $10.47 | $13.80 |
BCBS Kansas City Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $31.62 | Professional | TC · Technical part | $23.44 | $25.70 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $93.33 Typical High $239.88 | Facility | None | $56.23 | $93.33 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $24.55 | $33.88 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $17.78 | Professional | 26 · Professional part | $6.92 | $10.23 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $23.99 Typical High $43.65 | Professional | TC · Technical part | $17.38 | $23.99 | $43.65 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $70.79 Typical High $346.74 | Facility | None | $34.67 | $70.79 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $33.11 | $218.78 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $10.23 | $72.44 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $22.39 | $199.53 | $199.53 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | TC · Technical part | $33.88 | $33.88 | $33.88 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $288.40 | Facility | None | $275.42 | $275.42 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $36.31 Typical High $61.66 | Professional | None (both parts) | $31.62 | $36.31 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $11.75 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $25.12 | $44.67 |
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 $13.80 Median $15.49 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $15.49 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $7.08 | Professional | 53 · Discontinued | $5.62 | $6.17 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $24.55 Typical High $28.18 | Professional | FX · Film X-ray | $23.44 | $24.55 | $28.18 |
Where Missouri sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$40.74
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.